The root cause was determined to be the result of misuse.Per the supplier investigation, it was noted that the device is bent.It is believed that the bend of the electrode in combination with a higher than recommended power setting caused the burn through the insulation.The customer was referred to the ifu statement "always use the lowest power setting that achieves the desired surgical effect.Use the active electrode for the minimum time necessary in order to reduce the possibility of unintended burn injury".The lot number of the device was never determined, therefore the device history record could not be reviewed.Based on the above information, this can be seen as the final report.If additional information is obtained that alleges any additional patient involvement or the need for corrective actions, a follow up report will be submitted.
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