FDA Adverse Event Malfunction Summary report: N

GENERATOR PS100-102 PULSAR II

MDR report key: 4329137 · Received December 15, 2014

Report

Report Number
1226420-2014-00124
Event Type
Malfunction
Date Received
December 15, 2014
Date of Event
November 18, 2014
Report Date
April 10, 2015
Manufacturer
MEDTRONIC ADVANCED ENERGY, LLC
Product Code
MUL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVENT # (B)(4). EVALUATION PROCESS: PERFORMED VISUAL INSPECTION ON UNIT PER TCL-514-900008. -UNIT HAS SCRATCHES DOWN TO THE EXPOSED METAL. PERFORMED BASELINE FUNCTIONAL TESTING PER TCL-514-900008. NO ISSUES FOUND. UNIT DELIVERED CORRECT LEVELS OF RF ENERGY IN ALL MODES. CUT LEVEL 6 WITH A 3.0S HANDPIECE COMMANDS THE PULSAR II TO DELIVER 20W OF MEDIUM CUT TO RATED LOAD (40OHM.) THE REPORT THAT THE OUTPUT MEASURED 25W MEANS THAT THE OUTPUT POWER WAS 25% HIGHER THAN RATED POWER(THIS EXCEEDS THE MAXIMUM ALLOWABLE DIFFERENCE OF 20% AND IS THE REASON OR THE COMPLAINT.) THE INCOMING INSPECTION FOR THE PULSAR II TESTED THE UNIT ACROSS A RANGE OF POWER ISSUES WHEN DELIVERING ANY MODE, INCLUDING MEDIUM CUT, TO RATED LOAD IN THE SERVICE DEPARTMENT. THE COMPLAINT COULD NOT BE CONFIRMED. ROOT CAUSE: SERVICE DEPARTMENT COULD NOT REPLICATE REPORTED DISCREPANCY: UNIT DELIVERED CORRECT LEVELS OF RF ENERGY IN ALL MODES, INCLUDING MEDIUM CUT (THE MODE IDENTIFIED IN THE COMPLAINT.) SCRATCHES ON THE ENCLOSURE PAINT ARE DUE TO ROUGH HANDLING IN THE FIELD. (B)(4).

Additional Manufacturer Narrative · 1

PRODUCT EVENT (B)(4). EVALUATION (METHOD): GENERATOR RETURNED AND PENDING ANALYSIS RESULTS. EVALUATION (RESULT): GENERATOR RETURNED AND PENDING ANALYSIS RESULTS. EVALUATION (CONCLUSION): GENERATOR RETURNED AND PENDING ANALYSIS RESULTS. (B)(4).

Description of Event or Problem · 1

DURING ROUTINE BIOMED TESTING WITH A FLUKE ANALYZER AND PLASMABLADE 3.0S, THE OUTPUT ON CUT SETTING 6 IS HIGHER THAN THE EXPECTED OUTPUT VALUE. PLASMABLADE WAS USED ON ANOTHER UNIT TO TEST AND OUTPUT VALUES MET SPECIFIED GUIDELINES. NO PATIENT INVOLVEMENT.

Description of Event or Problem · 1

DURING ROUTINE BIOMED TESTING WITH A FLUKE ANALYZER AND PLASMABLADE 3.0S, THE OUTPUT ON CUT SETTING 6 IS HIGHER THAN THE EXPECTED OUTPUT VALUE. PLASMABLADE WAS USED ON ANOTHER UNIT TO TEST AND OUTPUT VALUES MET SPECIFIED GUIDELINES. NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
820285 GENERATOR PS100-102 PULSAR II GENERATOR,ELECTROSURGICAL,COAGULATION,CANCER MUL MEDTRONIC ADVANCED ENERGY, LLC PS100-102

Patients

Seq Age Sex Outcome Treatment
1