FDA Adverse Event Malfunction Summary report: N

HOLMIUM: YAG 2.1. MICROMETER LASER

MDR report key: 5119 · Received May 17, 1993

Report

Report Number
5119
Event Type
Malfunction
Date Received
May 17, 1993
Date of Event
April 13, 1993
Report Date
May 10, 1993
Manufacturer
TRIMEDYNE
Product Code
LXS
Product Problem
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

ON APRIL 13, 1993 A PHYSICIAN WAS PERFORMING A BILATERAL ARTHROSCOPY OF THE KNEE ON A 38 YEAR OLD MALE PATIENT. APPROXIMATELY THREE QUARTERS OF THE WAY THROUGH THE PROCEDURE THE LASER WAS ACTIVATED AND DOCTOR RECEIVED A BURN BETWEEN THE THUMB AND INDEX FINGER OF HIS LEFT HAND. THE PATIENT WAS NOT HARMED THE LASER WAS TURNED OFF AND THE CASE WAS CONTINUED USING CONVENTIONAL METHODS. AFTER COMPLETION OF THE PROCEDURE THE CURVED ORTHOPEDIC HANDPIECE WAS INSPECTED AND A BREAK WAS NOTED IN THE FIBER OPTIC CABLE WHERE THE CABLE ENTERED THE HANDLE AT THE REAR.DEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.DEVICE SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: . SERVICE PROVIDED BY: FACTORY TRAINED/AUTHORIZED/OWNED SERVICE ORGANIZATION. SERVICE RECORDS AVAILABLE.NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE NOT USED AS LABELED/INDENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, VISUAL EXAMINATION. RESULTS OF EVALUATION: MATERIAL DEGRADATION/DETERIORATION. CONCLUSION: DEVICE FAILURE OCCURRED AND WAS RELATED TO EVENT. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: DEVICE RETURNED TO MANUFACTURER/DEALER/DISTRIBUTOR. THE DEVICE WAS NOT DESTROYED/DISPOSED OF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HOLMIUM: YAG 2.1. MICROMETER LASER HO: YAG TAPERTIP 600 MICRON 20 DEGREE CURVED ORTHOPEDIC HAND LXS TRIMEDYNE IN.-1210; HP.-20405 HANDPIECE 7840

Patients

Seq Age Sex Outcome Treatment
1 38 YR Other