| Catalog Number |
PLPUL2520 |
| Medical Device Problem Code |
Material Fragmentation (1261)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
07/15/2025
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Type of Reportable Event
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Malfunction
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Event or Problem Description
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The customer reported that the device, plpul2520, ultra surgical smoke evacuation pencil was being used on (b)(6) 2025 and the "cautery pencil was being used inside open chest.Cautery stopped working for a moment and when examined a small piece of plastic where cautery tip sits broke off and fell into open cavity.Small piece was found.¿ there was no impact or injury to the patient or user.This report is being raised due to the reported malfunction with potential for injury upon reoccurrence.
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Additional Manufacturer Narrative
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The reported device is being returned to conmed for evaluation.A supplemental and final report will be filed following the completion of the device evaluation and complaint investigation.We will continue to monitor per regulatory requirements to help ensure patient safety.
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Event or Problem Description
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The customer reported that the device, plpul2520, ultra surgical smoke evacuation pencil was being used on (b)(6) 2025 and the "cautery pencil was being used inside open chest.Cautery stopped working for a moment and when examined a small piece of plastic where cautery tip sits broke off and fell into open cavity.Small piece was found.¿ there was no impact or injury to the patient or user.This report is being raised due to the reported malfunction with potential for injury upon reoccurrence.
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Additional Manufacturer Narrative
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Correction: the aware date reported on the initial submission to the fda was corrected to 23jul25 as new information was received on 18sep25 that changed conmed's aware date.The examination of the returned used device plpul2520 found that part of the hex electrode hub (the part that looks like a ¿c¿) inside the air tube was broken off.The broken piece was returned for evaluation.Root cause cannot be determined, however, based upon evaluation of the device and the ifu; a possible cause of this event could be excessive force.A device history record review was requested from the manufacturer, and no indication of abnormalities was communicated.This is the only complaint for this lot number and failure mode within the past two years.A two-year review of complaint history revealed there has been a total of 18 reports, regarding 18 devices, for this device family and failure mode.During this same time frame (b)(4) devices have been manufactured and shipped worldwide.Should all the complaint devices have been found confirmed for this reported failure, the rate of failure would be (b)(4).Per the instructions for use, the user is advised the following: if necessary to remove blade.Unplug the pencil.Ensure that cam is in the lock position.Use a surgical clamp and pull blade forward.Replace with blade of choice.Confirm that blade is completely inserted and secure before activating pencil.Never force the blade into the pencil.We will continue to monitor per regulatory requirements to help ensure patient safety.
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Search Alerts/Recalls
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