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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CONMED PLUMEPEN; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES

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CONMED PLUMEPEN; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES Back to Search Results
Catalog Number PLPUL2020
Medical Device Problem Code Material Fragmentation (1261)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/09/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device is not expected to be returned for evaluation and review.However, the complaint investigation is not complete at this time.A supplemental and final report will be filed following the completion of the complaint investigation.We will continue to monitor per regulatory requirements to help ensure patient safety.
 
Event or Problem Description
A sales representative reported on behalf of a customer that the plpul2020, ultra surgical smoke evacuation pencil device was used in an unknown procedure on (b)(6) 2026, and ¿the active electrode connection broke off during the procedure rendering the product unusable, and another device has to be opened to complete the procedure.No patient was injured in the procedure, and the procedure was completed with only a minor delay with opening a new device.The broken off piece was recovered and removed from the surgical field.¿.Further assessment found "the fragment fell onto a superficial incision of the patient and was easily retrieved.It did not fall into a cavity or inside the patient.The housing that holds the pencil blade/tip and the blade itself is what fell onto the patient.".There was no medical/surgical intervention, or extended hospitalization for the patient.This report is being raised on the basis of malfunction with potential for injury upon reoccurrence.
 
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Brand Name
PLUMEPEN
Common Device Name
ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES
Manufacturer (Section D)
CONMED
525 french rd
utica NY 13502
Manufacturer (Section G)
WICKIMED
4-5/f, building b
tangjiao industrial area
lilin, huizhou, prc 51600 0
CH   516000
Manufacturer Contact
beth madeline
11311 concept blvd
largo, FL 33773
7274708358
MDR Report Key25110517
Report Number1320894-2026-00121
Device Sequence Number13084529
Product Code GEI
UDI-Device Identifier20845854061210
UDI-Public(01)20845854061210(17)280917(10)WM20250932
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K103375
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source User Facility,Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 06/05/2026
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 Catalogue NumberPLPUL2020
Device Lot NumberWM20250932
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer Not provided
Supplement Date Received by Manufacturer05/29/2026
Initial Report FDA Received Date05/07/2026
Supplement Report FDA Received Date06/05/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/18/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device A
Patient Sequence Number1
Patient SexUnknown
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