FDA Adverse Event Malfunction Summary report: N

PULSAR 2 GENERATOR

MDR report key: 4534046 · Received February 23, 2015

Report

Report Number
1226420-2015-00031
Event Type
Malfunction
Date Received
February 23, 2015
Date of Event
January 26, 2015
Report Date
May 29, 2015
Manufacturer
MEDTRONIC ADVANCED ENERGY (SALIENT)
Product Code
GEI
PMA / PMN Number
K102029
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVENT # 700842528 EVALUATION CODE (METHOD): GENERATOR RETURNED AND PENDING ANALYSIS RESULTS EVALUATION CODE (RESULT): GENERATOR RETURNED AND PENDING ANALYSIS RESULTS EVALUATION CODE (CONCLUSION): GENERATOR RETURNED AND PENDING ANALYSIS RESULTS. (B)(4).

Additional Manufacturer Narrative · 1

(B)(4). EVALUATION PROCESS: *PERFORMED VISUAL INSPECTION ON UNIT PER TCL-514-900008. -UNIT IS IN GOOD CONDITION. *PERFORMED BASELINE FUNCTIONAL TESTING PER TCL-514-900008. -NO ISSUES FOUND. UNIT DELIVERED CORRECT LEVELS OF RF ENERGY IN ALL MODES. UNIT WAS CONFIGURED AS DESCRIBED IN MEDTRONIC DOCUMENT #70-10-1231 (¿PULSAR GENERATOR PREVENTATIVE MAINTENANCE GUIDE¿) FOR MEASURING PEAK CUT 5 ENERGY. THE GENERATOR WAS FOUND TO DELIVER 23.9W OF ENERGY, WITHIN THE TOLERANCE BAND OF +/- 20% FROM THE TARGET POWER OF 20W. ROOT CAUSE: SERVICE DEPARTMENT COULD NOT DUPLICATE ISSUE. UNIT DELIVERED CORRECT LEVELS OF RF ENERGY IN ALL MODES, INCLUDING CUT 5 WITH A 3.0S HANDPIECE. (B)(4).

Description of Event or Problem · 1

CUSTOMER WAS PERFORMING INCOMING INSPECTION OF PULSAR GENERATOR AND PLASMABLADE DEVICE AND NOTED THE GENERATOR HAD HIGH OUTPUT ON CUT SETTING 5. THE GENERATOR SHOULD BE GIVING 20 WATTS WITH AND IMPEDANCE OF 100 OHMS, +/- 20%, HOWEVER THE GENERATOR WAS GIVING 86.3 WATTS AT 100 OHMS. CUSTOMER WAS TESTING WITH 3.0S AND FLUKE RF303 ESU ANALYZER. NO PATIENT INVOLVEMENT.

Description of Event or Problem · 1

CUSTOMER WAS PERFORMING INCOMING INSPECTION OF PULSAR GENERATOR AND PLASMABLADE DEVICE AND NOTED THE GENERATOR HAD HIGH OUTPUT ON CUT SETTING 5. THE GENERATOR SHOULD BE GIVING 20 WATTS WITH AND IMPEDANCE OF 100 OHMS, +/- 20%, HOWEVER THE GENERATOR WAS GIVING 86.3 WATTS AT 100 OHMS. CUSTOMER WAS TESTING WITH 3.0S AND FLUKE RF303 ESU ANALYZER. NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
125413 PULSAR 2 GENERATOR ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI MEDTRONIC ADVANCED ENERGY (SALIENT) PS100-102

Patients

Seq Age Sex Outcome Treatment
1