FDA Adverse Event
Malfunction
Summary report: N
PENA MUSCLE STIMULATOR PROBE (NOT STERILE)
MDR report key: 3902049
·
Received February 24, 2014
Report
- Report Number
- 9612007-2014-00009
- Event Type
- Malfunction
- Date Received
- February 24, 2014
- Report Date
- January 29, 2014
- Manufacturer
- INTEGRA NEUROSCIENCES IMPLANTS S.A.
- Product Code
- IPF
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFORMATION.
Description of Event or Problem · 1
THE EIGHTH REPORT OF EIGHT FROM THE SAME FACILITY INVOLVING PENA PROBE. CROSS REFERENCE WITH MFR. REPORT 9612007-2014-00003. A REPORT WAS RECEIVED FROM A CHILDREN'S HOSPITAL THAT THE PENA PROBE STOPPED/DIDN'T WORK. THE CONSULTANT SURGEON CUT THE CABLE AND EXPOSED THE INNER CABLING WHICH APPEARED TO BE OXIDIZED. THE PROBE WAS IN CONTACT WITH A PATIENT (AGE OF THE PATIENT IS NOT AVAILABLE). THERE WAS A DELAY WHILE THE STAFF LOCATED ANOTHER PROBE TO USE. THERE WAS NO INJURY INVOLVED AS A RESULT OF THE DELAY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 114447 | PENA MUSCLE STIMULATOR PROBE (NOT STERILE) | PENA MUSCLE STIMULATOR PROBE | IPF | INTEGRA NEUROSCIENCES IMPLANTS S.A. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |