inforMED
MalfunctionJOS

2.75 HEX COATED BLADE NSB

Received Oct 29, 2010 · Event occurred Sep 9, 2010

Report 1717344-2010-00744 · MDR key 1888741

Device

Generic name

Electrosurgical Accessory

Catalog number

E1450XNSB

Lot number

UNK

Product problems

  • Fire

Patient

UNK

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

(B)(4). THE RETURN OF THE INCIDENT SAMPLE HAS BEEN REQUESTED. TO DATE, IT HAS NOT BEEN RECEIVED FOR EVAL. 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.

Description of Event or Problem

THE CUSTOMER REPORTED THAT THERE WAS A FLAME ON THE TIP OF THE ELECTRODE. THE SITE TESTED THE PENCIL AND ELECTRODE AT THEIR SITE, BUT COULD NOT REPLICATE THE EVENT. THE GENERATOR, THE SITE IS USING IS UNK. THE PENCIL TYPE IS ALSO UNK AT THIS TIME. THERE WAS NO PT INJURY.