• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO ROCKER-SWITCH SMOKE EVAC PENCIL, COATED; ELECTROSURGICAL CUTTING AND COAGULATION DEVICE AND ACCESSORIES

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

STRYKER INSTRUMENTS-KALAMAZOO ROCKER-SWITCH SMOKE EVAC PENCIL, COATED; ELECTROSURGICAL CUTTING AND COAGULATION DEVICE AND ACCESSORIES Back to Search Results
Catalog Number 0703047000
Device Problems Unintended Power Up (1162); Excessive Heating (4030)
Patient Problem Superficial (First Degree) Burn (2685)
Event Date 09/05/2023
Event Type  malfunction  
Manufacturer Narrative
H6: a follow up report will be filed once the quality investigation is complete.H3 other text : device not available for return.
 
Event Description
Per medwatch report (b)(4): it was reported that during a procedure the e-sep pencil rocker switch was sensitive and easily activated.The customer also stated they believed that the electrocautery devices are hotter than the previously used electrocautery devices.The tip of the e-sep pencil burned the patient on the right upper quadrant of the abdomen.Degree is not documented, skin is deep red in appearance, no size of injury documented.An antibiotic ointment was applied to the area.The wound may potentially scar but it is not likely to need additional/continuing treatment.No infection was reported.The procedure was completed successfully without a clinically significant delay; no adverse consequences or medical intervention were reported.
 
Manufacturer Narrative
Correction d9/h3: device not available for return.H6: the quality investigation is complete.H3 other text: device not available for return.
 
Event Description
Per medwatch report (b)(4): it was reported that during a procedure the e-sep pencil rocker switch was sensitive and easily activated.The customer also stated they believed that the electrocautery devices are hotter than the previously used electrocautery devices.The tip of the e-sep pencil burned the patient on the right upper quadrant of the abdomen.Degree is not documented, skin is deep red in appearance, no size of injury documented.An antibiotic ointment was applied to the area.The wound may potentially scar but it is not likely to need additional/continuing treatment.No infection was reported.The procedure was completed successfully without a clinically significant delay; no adverse consequences or medical intervention were reported.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
ROCKER-SWITCH SMOKE EVAC PENCIL, COATED
Type of Device
ELECTROSURGICAL CUTTING AND COAGULATION DEVICE AND ACCESSORIES
Manufacturer (Section D)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
Manufacturer (Section G)
STRYKER INSTRUMENTS-IRELAND
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
EI   NA
Manufacturer Contact
colette chung
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
EI   NA
214532900
MDR Report Key17949205
MDR Text Key325835338
Report Number0001811755-2023-00165
Device Sequence Number1
Product Code GEI
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K143145
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type User Facility
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 02/07/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/17/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number0703047000
Device Lot Number214520
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received01/24/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
-
-