| Catalog Number |
72290038 |
| Medical Device Problem Code |
Self-Activation or Keying (1557)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
12/12/2024
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Type of Reportable Event
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Malfunction
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Additional Manufacturer Narrative
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H10: internal complaint reference: (b)(4).
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Event or Problem Description
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It was reported that during an arthroscopy, the werewolf flow 90 coblation wand did not stop to ablate.The procedure was completed using a s+n back up device.There was a delay of less than 30 minutes.No further complications were reported.
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Additional Manufacturer Narrative
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H10: h3, h6: the reported device was received for evaluation.Visual inspection observed the returned instrument shows no manufacturing abnormalities.Product was out of the original packaging.No packaging returned.The tip is worn from use.Functional evaluation revealed plugging in the wand causes a wand end of life error.Using a bypass box, the wand had no issues producing plasma or activating coag.The ablate button did not activate when pressed from testing with the data extractor.Removing the button cover revealed saline ingress on the button board and corrosion on the ablate button.A review of device records showed there were no indications to suggest that the product did not meet manufacturing specifications 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.A definitive root cause for the reported issue could not be determined.Factors that could have contributed to the failure include procedural variance, or deviations from established protocols, increasing risks and leading to unintended consequences (saline ingress leading to shorting of the ablate button).Based on this investigation, the need for corrective action is not indicated.
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Search Alerts/Recalls
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