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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHROCARE CORPORATION UNKNOWN COBLATION ENT DEVICE; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES

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ARTHROCARE CORPORATION UNKNOWN COBLATION ENT DEVICE; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES Back to Search Results
Catalog Number UNKNOWN
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Apnea (1720); Bradycardia (1751)
Event Date 07/01/2017
Event Type  Injury  
Manufacturer Narrative
H10: internal complaint reference (b)(4).
 
Event Description
It was reported that after an intracapsular tonsillectomy, adenoidectomy and drug-induced endoscopy, direct laryngoscopy and bronchoscopy using a coblation wand, patient had 1 episode of apnea and bradycardia requiring albuterol and racemic epinephrine.Patient was admitted to picu for airway monitoring and put on full mask bipap throughout the night.Once removed in the morning, patient tolerated it well.No outcomes reported at last evaluation.
 
Manufacturer Narrative
Internal complaint reference (b)(4).H10 h3, h6: a device deficiency was not identified, and the root cause of the reported event could not be determined due to the limited clinical information provided.Insufficient product identification information was provided and thus a manufacturing record review, complaint history review, instruction for use review and a risk management review, could not be conducted.Based on the information available, there were no indications to suggest that the product did not meet manufacturing specification upon release for distribution.A clinical review states that the likely clinical root cause of the reported apnea and bradycardia is the patient history of obstructive sleep disordered breathing (osdb)/obstructive sleep apnea (osa) as well as the anesthesia sedation and not related to the coblation wand device or its use.The patient impact is the over-night icu stay and treatment with albuterol, racemic epinephrine and full mask bipap.Based on the limited information provided we are unable to conclude on factors known to contribute to the alleged report.No containment or corrective actions are recommended at this time.Internal complaint reference (b)(4).H11 b1: only adverse event should be marked as yes.
 
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Brand Name
UNKNOWN COBLATION ENT DEVICE
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 Key18194757
MDR Text Key328828490
Report Number3006524618-2023-00455
Device Sequence Number1
Product Code GEI
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K202006
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Study,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 01/12/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/22/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNKNOWN
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received01/10/2024
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
Patient Outcome(s) Hospitalization; Required Intervention; Other;
Patient Age1 YR
Patient SexFemale
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