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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHROCARE CORPORATION EVAC 70 XTRA HP COBLATOR II; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES

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ARTHROCARE CORPORATION EVAC 70 XTRA HP COBLATOR II; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES Back to Search Results
Catalog Number EIC5874-01
Device Problem Arcing (2583)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Manufacturer Narrative
H10: internal complaint reference number:(b)(4).
 
Event Description
It was reported that the evac xtra coblator wand presented arcing due to the separation between the electrode tip and the shaft.The deficiency was observed while performing the investigation for the device; therefore, there was no patient involvement.
 
Manufacturer Narrative
H10: h3, h6: the reported device was received for evaluation.A visual inspection the returned instrument shows no manufacturing abnormalities.Fluid is in the fluid lines.Electrodes have been used.Bio debris is present.The wand is bent from use.The black shrink wrap is deformed at the distal edge.There is separation between the electrode tip and the shaft.Product was out of the original packaging.No packaging returned.A functional evaluation found plasma is arching at the separation of the tip and shaft.Saline is leaking from under the black shrink wrap at the distal edge.A review of device records showed there were no indications to suggest that the product did not meet manufacturing specifications upon release for distribution.A complaint history review found similar reported events.A risk management review found that the reported failure and/or harm was documented appropriately, and there were no indications to suggest the anticipated risk is not adequate.The root cause was associated with unintended use of the device.Factors that could have contributed to the reported event include insufficient suction pressure or saline flow to excavate tissue.No containment or corrective actions are recommended at this time.
 
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Brand Name
EVAC 70 XTRA HP COBLATOR II
Type of Device
ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES
Manufacturer (Section D)
ARTHROCARE CORPORATION
7000 west william cannon drive
austin TX 78735
Manufacturer (Section G)
ARTHROCARE CORPORATION
7000 west william cannon drive
austin TX 78735
Manufacturer Contact
holly topping
7000 west william cannon drive
austin, TX 78735
5123913905
MDR Report Key18199096
MDR Text Key329209432
Report Number3006524618-2023-00458
Device Sequence Number1
Product Code GEI
Combination Product (y/n)N
Reporter Country CodeCH
PMA/PMN Number
K202006
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Health Professional,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 02/09/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberEIC5874-01
Device Lot Number2104574
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 11/03/2023
Initial Date FDA Received11/23/2023
Supplement Dates Manufacturer Received02/07/2024
Supplement Dates FDA Received02/09/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured11/22/2022
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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