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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOVIE MEDICAL CORP. BOVIE MEDICAL; CAUTERY

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BOVIE MEDICAL CORP. BOVIE MEDICAL; CAUTERY Back to Search Results
Model Number AA01X
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The user alleges that they were attempting to use the aa01x to cut open an ingrown toe nail to release pressure.The root cause is determined to be user error by ,is-using the device by attempting to cut/puncture.According to the product ifu: -applying excessive force on the cautery during use may cause tip to bend or break.-bovie® cautery devices are used for stopping small bleeders in hemostasis and other similar use.If additional information is obtained that is pertinent to the investigation or provides additional details a follow-up report will be provided.Until such time, this can be seen as the final report.
 
Event or Problem Description
The complainant alleged, "we were using a pen tip cautery to release pressure on an injured toenail when the cautery tip broke on 3 units.The 4th unit worked without breaking.All units were the same type (ref#aa01x).The patient was not injured in any way, it just took longer to perform the procedure.".
 
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Brand Name
BOVIE MEDICAL
Common Device Name
CAUTERY
Manufacturer (Section D)
BOVIE MEDICAL CORP.
5115 ulmerton road
clearwater FL 33760
Manufacturer (Section G)
BOVIE MEDICAL CORP.
5115 ulmerton road
clearwater FL 33760
Manufacturer Contact
steven fox
3034 owen drive
antioch, TN 37013
MDR Report Key18866502
Report Number3007208013-2024-00009
Device Sequence Number8294926
Product Code HQP
UDI-Device Identifier00607151008956
UDI-Public00607151008956
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K121441
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 03/08/2024
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
Operator of Device Health Professional
Device Model NumberAA01X
Device Lot Number0923X
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/16/2024
Initial Report FDA Received Date03/08/2024
Was Device Evaluated by Manufacturer? (Y/N) No
Patient Sequence Number1
Patient SexUnknown
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