It was reported that during a septoplasty, the front end of the reflex ultra 45 was not reacting when used.The procedure was completed with a s+n back up device.There was a surgical delay less than 30 minutes and no further complications were reported.Per the preliminary results of the investigation, the functional evaluation revealed intermittent power sparks were observed in the damaged tip assembly above the electrode.
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H10: internal complaint reference (b)(4).H3, h6: the reported device was received for evaluation.A visual inspection revealed no manufacturing abnormalities.The electrode has been used and damaged.The tip assembly, that holds the electrode, has been damaged/crushed by another instrument.This finding has been determined to be related to the reported event.Product was out of the original packaging.No packaging returned.A functional evaluation was performed on the returned device and found the wand registered settings (4,2).Plasma was not generated at the electrode but intermittent power sparks were observed in the damaged tip assembly above it.A review of device records showed there were no indications to suggest that the product did not meet manufacturing specification 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 has been associated with unintended use of the device.Factors that could have contributed to the failure include pressing the tip against rough or sharp surfaces or an impact event inconsistent with normal use, thus affecting the wand´s functionality.No containment or corrective actions are recommended at this time.
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