Device Problems
Material Fragmentation (1261); Noise, Audible (3273)
Patient Problem
Device Embedded In Tissue or Plaque (3165)
Event Date 11/04/2014
Event Type
malfunction
Event Description
No injury.During l knee arthroscopy, holmium laser with reprocessed tip was in the knee and laser activated popping noise and flash was observed via video screen.Small piece of the laster tip observed in the knee using video.Several unsuccessful attempts were made to retrieve the piece.Unable to retrieve with irrigation.Brand new laser tip used without complications to finish the case.(b)(6).