MAUDE Adverse Event Report: COOPERSURGICAL, INC. QUANTUM2000 ELECTROSURG.

Model Number 909075

Device Problem Failure to Cut (2587)

Patient Problem No Known Impact Or Consequence To Patient (2692)

Event Date 03/31/2020

Event Type  malfunction  

Manufacturer Narrative

Coopersurgical inc.Is currently investigating the reported complaint condition.(b)(4).

Event Description

Customer stated "doesn't cut".(b)(4).Quantum2000 electrosurg 909075.

Manufacturer Narrative

Investigation.X-inspect returned samples.Analysis and findings.Complaint (b)(4).Distribution history: this complaint unit was manufactured in the 1990's.Manufacturing record review: a review of the device history record could not be performed as the record could not be located at the time of this investigation.However, it should be noted at the time of manufacture records from each lot are thoroughly reviewed to ensure that products are released meeting all coopersurgical quality release specifications.Should the device history record be located going forward, it will be reviewed and this complaint amended accordingly.Incoming inspection review: not applicable.Service history record: this unit was previously returned november 2008 under log 46686 and repaired for no ouput by an outside service.Historical complaint review: a review of the 2-year complaint history showed similar reported complaint condition.Product receipt: the complaint unit was returned on a repair.However, based on log 94194, this unit was at csi on (b0(6) 2020.Visual evaluation: visual examination of the complaint unit revealed no physical damage.Functional evaluation: complaint unit was functionally evaluated and found not to function properly.Service & repair confirmed the complaint unit had power but there was intermittent output for all modes.Root cause: the root cause of this issue has been attributed to wear and tear.The board in this unit was also confirmed to be of the older obsoleted version.Correction and/or corrective action.The unit was discarded at csi upon approval of the customer.A repair was not feasible and 909075 has been discontinued.Service & repair also directed the customer to the customer service to offer the latest version of csi's electrosurgical device/system, p/n lp-10-120.Coopersurgical will continue to monitor this complaint condition for trends.Preventative action activity.Coopersurgical will continue to monitor this complaint condition for trends.

Event Description

Customer stated "doesn't cut".Reference repair order (b)(4).Ref.E-complaint (b)(4).1216677-2020-00099 quantum2000 electrosurg 909075 (b)(4).

• Brand Name: QUANTUM2000 ELECTROSURG.
• Type of Device: QUANTUM2000 ELECTROSURG.
• Manufacturer (Section D): COOPERSURGICAL, INC.; 95 corporate drive; trumbull, ct
• MDR Report Key: 9993260
• MDR Text Key: 194942536
• Report Number: 1216677-2020-00099
• Device Sequence Number: 1
• Product Code: HGI
• Combination Product (y/n): N
• PMA/PMN Number: K963653
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: health professional,user faci
• Type of Report: Initial,Followup
• Report Date: 06/03/2020

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
• Device Operator: Health Professional
• Device Model Number: 909075
• Device Catalogue Number: 909075
• Device Lot Number: N/A
• Was Device Available for Evaluation?: Yes
• Initial Date Manufacturer Received: 04/07/2020
• Initial Date FDA Received: 04/23/2020
• Supplement Dates Manufacturer Received: 04/07/2020
• Supplement Dates FDA Received: 06/05/2020
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Outcome(s): Other