inforMED
MalfunctionJOS

ELECTRODE EXTENSION - 11 INCH

Received Apr 30, 2009 · Event occurred Apr 3, 2009

Report 1717344-2009-00175 · MDR key 1429477

Device

Generic name

Electrosurgical Accessory

Catalog number

E1504

Lot number

UNKNOWN

Product problems

  • Detachment Of Device Component
  • Component Falling

Patient

34 YR

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

THE CUSTOMER REPORTED THAT WHEN USING THE EXTENDER IN A LAPAROSCOPIC PROCEDURE USING A 10MM TROCAR, THE ELECTRODE TIP CAME OFF THE EXTENDER AS IT WAS WITHDRAWN FROM THE TROCAR AND FELL INTO THE PT CAVITY. THERE WAS NO PT INJURY AND THE TIP WAS REMOVED FROM THE PT'S ABDOMEN WITH A LAPAROSCOPIC GRASPER. THE TIP HAD BEEN INTENTIONALLY BENT WITH A SLIGHT CURVE DURING BLADDER DISSECTION WHICH THEY NORMALLY DO FOR THIS PROCEDURE.

Additional Manufacturer Narrative

THE RETURN OF THE INCIDENT SAMPLE HAS BEEN REQUESTED. TO DATE IT HAS NOT BEEN RECEIVED FOR EVALUATION. ADDITIONAL QUESTIONS IN REGARD TO THE INCIDENT HAVE ALSO BEEN ASKED. IF THE SAMPLE IS RECEIVED OR IF ADDITIONAL INFO PERTINENT TO THE INCIDENT IS OBTAINED A FOLLOW-UP REPORT WILL BE SUBMITTED.