FDA Adverse Event
Malfunction
Summary report: N
COBLATOR II
MDR report key: 3902526
·
Received May 7, 2014
Report
- Report Number
- 3006524618-2014-00145
- Event Type
- Malfunction
- Date Received
- May 7, 2014
- Date of Event
- April 8, 2014
- Report Date
- April 8, 2014
- Manufacturer
- ARTHROCARE CORPORATION
- Product Code
- GEI
- PMA / PMN Number
- K030108
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A TONSILLECTOMY PROCEDURE USING A COBLATOR II CONTROLLER, THE UNIT STARTED ALARMING. THE SURGEON OPTED TO COMPLETE THE PROCEDURE USING A COMPETITIVE DEVICE. THERE WERE NO SIGNIFICANT DELAYS OR PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 276881 | COBLATOR II | OPERATOR CONSOLE, DIATHERMY UNIT | GEI | ARTHROCARE CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other | 06149-59 FLOW CONTROL CABLE, LOT# W76748| 10863-59 FOOT CONTROL, LOT # 887171,| 10101-59 VALVE UNIT, LOT# FV13186, |