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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHROCARE CORP. FLOW CONTROL UNIT; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES

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ARTHROCARE CORP. FLOW CONTROL UNIT; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES Back to Search Results
Catalog Number 10101
Device Problem No Flow (2991)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 04/08/2021
Event Type  Injury  
Manufacturer Narrative
Internal complaint reference (b)(4).
 
Event Description
It was reported that during an ent surgery, there was no saline delivered to the wand as the flow control unit was not opening, the light was not turning green when the footswitch was depressed when it was set to the auto mode.They are not able to get the saline to flow when they connect the wand normally.The orange and blue light is still showing when they press the footswitch.The surgery proceeded via an alternative method/ device after the fault was discovered.It is unknown it there was any surgical delay.No injury was reported.All available information has been disclosed.If additional information should become available, a supplemental report will be submitted accordingly.
 
Manufacturer Narrative
The reported device, used in treatment, was received for evaluation.There was no relationship found between the returned device and the reported incident.A review of the device history records show there are no indications to suggest that the product did not meet manufacturing specification or would not be able to perform as intended.The instructions for use was reviewed and found to include conditions of off label use and technique specifics, as well as precautions and warnings related to the use of the device.A review of risk management files found that the reported failure was documented appropriately.Visual evaluation of the flow valve unit p/n10101, s/n: (b)(6) show no visual damages; the accessory is in its original condition; the manufacturing date is 2020-09-17; during functional evaluation of the flow valve unit p/n10101, s/n: (b)(6) on a lab.Cii cobrator unit p/n13546-02 show a full functional device with no problems; the solenoid and the led performed as intendend also the auto/manual switch is working properly; no manufacturing abnormalities were found during the visual inspection; the complaint was not verified and the root cause could not be determined since the reported malfunction could not be duplicated during the product evaluation process.Please refer to the instructions for use for recommendations on proper use of the device and potential troubleshooting methods to prevent future reoccurrence of the reported event.No containment or corrective actions are recommended at this time.
 
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Brand Name
FLOW CONTROL UNIT
Type of Device
ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES
Manufacturer (Section D)
ARTHROCARE CORP.
7000 w. william cannon
austin TX 78735
MDR Report Key11731929
MDR Text Key247929284
Report Number3006524618-2021-00518
Device Sequence Number1
Product Code GEI
Combination Product (y/n)N
PMA/PMN Number
K030108
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 09/23/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/27/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number10101
Was Device Available for Evaluation? No
Date Manufacturer Received09/01/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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