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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: GYNESONICS SONATA RADIOFREQUENCY ABLATION HANDPIECE; COAGULATOR-CUTTER, ENDOSCOPIC, UNIPOLAR (AND ACCESSORIES)

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GYNESONICS SONATA RADIOFREQUENCY ABLATION HANDPIECE; COAGULATOR-CUTTER, ENDOSCOPIC, UNIPOLAR (AND ACCESSORIES) Back to Search Results
Model Number RFA-002
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Burn(s) (1757); Intermenstrual Bleeding (2665)
Date of Event 05/28/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
A device history record (dhr) review was conducted for the reported lot/serial number.The device was released meeting all qa specifications.The device involved in this event was not returned for evaluation purposes therefore visual and functional analysis of the product could not be performed.We are unable to confirm a relationship between the device and the issue reported.The information obtained during complaint investigation will be included in our global complaint trending and product surveillance will continue to monitor complaints of this type for adverse trends.If the product is received or additional information is obtained, the investigation will be reopened accordingly per standard operating procedure.
 
Event or Problem Description
It was reported that during a sonata procedure on (b)(6) 2026, the patient received a thermal burn to the cervix.No additional medical intervention was reported and the patient was reported as doing well.No other details available.
 
Additional Manufacturer Narrative
Additional information was received on june 17th 2026, the customer reported that the patient went to the emergency room on (b)(6) 2026 due to bleeding.The patient was treated and was doing fine.No more information was received.
 
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Brand Name
SONATA RADIOFREQUENCY ABLATION HANDPIECE
Common Device Name
COAGULATOR-CUTTER, ENDOSCOPIC, UNIPOLAR (AND ACCESSORIES)
Manufacturer (Section D)
GYNESONICS
200 cardinal way #250
redwood city CA 94063
Manufacturer (Section G)
GYNESONICS
200 cardinal way #250
redwood city CA 94063
Manufacturer Contact
daniel guevara
562 parkway
coyol free park zone b24
alajuela 20102
MDR Report Key25449565
Report Number3005875675-2026-00009
Device Sequence Number5840229
Product Code KNF
UDI-Device Identifier10817929020371
UDI-Public(01)10817929020371(10)1002089(17)280930
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
PMA/510(K) Number
K211535
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source User Facility,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 06/30/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Model NumberRFA-002
Device Catalogue NumberRFA-002
Device Lot Number1002089
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/28/2026
Supplement Date Received by Manufacturer06/17/2026
Initial Report FDA Received Date06/09/2026
Supplement Report FDA Received Date06/30/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/30/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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