The treatment tip was received and evaluated.The tip passed leak test.It failed thermistor testing and visual inspection.No dents or scratches were observed however, dielectric breakdown was observed.Functional testing was not performed due to the tip being expired.An evaluation of the data log shows that after switching to this tip, the system performed as expected.The review of the system/data log does not indicate there is any handpiece or system issue present.The investigation is ongoing.
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When the system detects a condition that interrupts treatment, a system event code is displayed.The system provides an event code number with instructions for how to respond, to address the error.In the event of a system event code, customers need to intervene to proceed.There were total of 5 treatments on treatment date.Evaluation found possible issues with the treatment tip in the 4th treatment.The customer was using two treatment tips on that treatment.The datacard log confirmed the customer¿s account of tip too warm errors occurring during treatment.If a treatment tip¿s thermistors exceed the maximum temperature limit due to accelerated thermistor temperatures during active mode, the temperature monitor will detect this condition and display a ¿tip too warm¿ error for the user and place the system into a safe state where it can no longer operate until resolved.This condition presents no patient risk.During evaluation of the treatment tip, service found damage to the tip's membrane.Breakdown of the membrane can cause the radiofrequency energy, delivered by the system, to focus in a small area of the membrane, rather than to be uniformly distributed over the entire membrane area.The thermage user manual instructs the operator to inspect the treatment tips for any signs of physical damage prior, during, and after treatment.With respect to all thermage systems, clinicians should frequently inspect the tip membrane during treatment for signs of breakdown and build-up of foreign substances.A review of manufacturing records showed all requirements were met.Based on the available information, this event was most likely caused by membrane damage to the treatment tip but the cause of the damage is unknown.All treatment tips are visually inspected during manufacturing.
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