| Catalog Number |
0845 |
| Medical Device Problem Code |
Arcing of Electrodes (2289)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
01/01/2025
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Type of Reportable Event
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Malfunction
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Additional Manufacturer Narrative
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(b)(4).B3: only event year known: 2025.Date sent 11/5/2025.Attempts have been made to retrieve the device.To date the device has not been returned.If the device or further details are received at a later date a supplemental medwatch will be sent.The device history records were reviewed and certed by external manufacturing that the manufacturing criteria were met prior to the release of the equipment.This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by ethicon, or its employees that the report constitutes an admission that the product, ethicon, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
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Event or Problem Description
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It was reported that during an unknown procedure there was sparking with the megadyne pad while in use.There were no patient consequences.
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Additional Manufacturer Narrative
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(b)(4).Date sent: 11/5/2025 corrected data d4: udi#.Additional information received: serial number for 3rd pad is: (b)(6).
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Additional Manufacturer Narrative
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(b)(4).Date sent: 12/8/2025.Additional information was requested and the following was obtained: unfortunately, a long time has passed since the sparking issue happened and i don't recall the exact procedure or patient size, but following are the answers as best as i can remember.Where did the sparking occur? was it near the corner or the tear where the flectron is exposed (brown color)? 1- most probably near the wholes on the pad but hard to be exact because the patient is under the drapes.Where was the patient in relation to the sparking? 2- over the top of the pad but hard to tell exactly which wholes on the pad.Where was the active electrode (e.G., pencil) relative to the spark? 3- on top of the drapes.Were there any fluids (e.G., urine, saline, etc.) in the field? 4- generally, it is possible to have a bit of residual sterile prep or urine in between the patient and the pad depending on the procedure or even saline while lavaging but i can't remember the specifics of those multiple times this happened.What cleaner or disinfectant (brand name or active ingredients) was used to clean the pad? 5- alcohol.Was the pad rinsed with water and allowed to dry before this surgical procedure? 6- no.Were any liquids used during the prep? 7- no.What skin preparation regimen was utilized for the procedure? 8- surgical scrub (4% chlorhexidine solution) followed by alcohol, followed by surgical paint (alcohol & baxedin mixture 40::1 ratio).Is it possible for the patient to be in contact with the metal portion of the or table? 9- depending on patient size on rare occasions it is possible.How was the room set up, including patient positioning, and where was the pad in relation to the patient? 10- patient is always positioned on top of the pad.Was there anything between the patient and the pad (e.G., sheet, drape, etc.)? 11- no.What generator settings were used (cut, coag, spray, etc., and the corresponding power)? 12- the power settings can range between 45-80 for cutting and 30-50 for coag.This depends on the cautery box used in each or suite.
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Additional Manufacturer Narrative
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(b)(4).Date sent: 6/30/2026 investigation summary the product was returned for evaluation.Visual inspection and functional testing were conducted on the returned device.The pad was returned with a cut on the top surface and the gel exposed.The pad was functionally tested with a multimeter and performed as expected.There were no evidence of flame flash fire during the analysis.The damage is likely caused by exposing the pad to other equipment or sharp objects which has damaged the surface of the pad.As part of the quality process all devices are manufactured, inspected, and released to approved specifications.A manufacturing record evaluation was performed for the finished device sn# (b)(6), and no non-conformances were identified.
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Search Alerts/Recalls
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