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Model Number M2K07 |
Device Problems
Arcing of Electrodes (2289); Material Integrity Problem (2978)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 08/30/2022 |
Event Type
malfunction
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Event Description
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It was reported that during an unknown procedure the cable suddenly self-ignited.The procedure was successfully completed with no patient consequences.
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Manufacturer Narrative
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(b)(4).An analysis of the product could not be performed since a physical sample was not received for evaluation.As part of our company quality system process, all devices are manufactured, inspected, and distributed to approved specifications.However, if the product is received at a later date, the investigation will be updated as applicable.An evaluation of the manufacturing record could not be performed as the required product identification number was not provided to complete the evaluation.Photo images were received and are pending review.When the review is completed, a supplemental medwatch will be sent with a summary of the evaluation.This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by ethicon, or its employees that the report constitutes an admission that the product, ethicon, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
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Manufacturer Narrative
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(b)(4).Date sent: 10/11/2022.Photo analysis: this is an analysis of an image submitted for evaluation.Image 1 (b)(4): the image provided by the customer shows a megadyne cord with a burn at the connector area.No conclusion could be reached as to how this issue occurred through photo analysis.Because the instrument was not returned our evaluation is limited.
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Manufacturer Narrative
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(b)(4).Date sent: 10/27/2022.Investigation summary: the product was returned for evaluation.Visual inspection was conducted on the returned device.Visual analysis of the returned sample revealed that the m2k07 cable was received with a rip and black charring was noted in the cable insulation at the connector area, in addition, the cable was exposed.No functional test could be performed due to the cable condition.Possible causes that may have contributed to the cable damage are handling the pad from the cable, exposing the cable to a sharp object or being run over, or becoming entangled in cart wheels.It is probable that the cable was damaged such that one, or both, of the wires were either partially damaged/exposed or completely broken but still touching each other (this would allow the cqm system to still get an acceptable resistance measurement and allow activation of the active electrode).Then when the high voltage of the active electrode hit that damaged spot in the wire it caused a spark that melted the insulation on both of the wires in the cable and allowed them to short together.As part of ethicon endo surgery¿s quality process all devices are manufactured, inspected, and released to approved specifications.
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Search Alerts/Recalls
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