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