inforMED
MalfunctionFFZ

OLYMPUS ACTIVE CORD

Received Apr 6, 2012

Report 8010047-2012-00114 · MDR key 2539618

Device

Generic name

Active Cord

Model number

MH-969

Catalog number

MH-969

Lot number

NA

Product problems

  • Thermal Decomposition of Device
  • Fire

Patient

UNK

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

THE USER FACILITY REPORTED THAT THE ACTIVE CORD CAUGHT FIRE WHILE BEING TESTED WITH A NON-OLYMPUS ELECTROSURGICAL UNIT (ERBE) AND OUTPUT ANALYZER. THE BIOMED AT THE FACILITY REPORTED THAT THE PURPOSE OF THE TEST WAS TO CHECK THE ELECTROSURGICAL UNIT DUE TO USER'S REPORT OF THE DEVICE NOT WORKING CORRECTLY AND HAVING A DIFFERENT TONE DURING USE. THERE WAS NO PT OR USER INJURY REPORTED.

Additional Manufacturer Narrative

THE ACTIVE CORD REFERENCED IN THIS REPORT WAS RETURNED TO OLYMPUS FOR EVAL. THE ACTIVE CORD WAS RECEIVED IN TWO PIECES, AS THE CORD WAS DETACHED FROM THE HANDPIECE CONNECTOR. IN ADDITION, THERE WERE EVIDENCE OF TOOLS INDENTATIONS ON THE SURFACE OF THE CABLE CONNECTOR. THERE WERE EVIDENCE OF ELECTRICAL ARCING AND STAINING ON THE SURFACE OF THE SIGNAL WIRES LOCATED AT THE DETACHMENT POINT. THE DEVICE WAS FORWARDED TO THE ORIGINAL EQUIPMENT MFR (OEM) FOR FURTHER INVESTIGATION. THE EXACT CAUSE OF THE USER'S EXPERIENCE COULD NOT BE CONCLUSIVELY DETERMINED; HOWEVER, USE OF A NON-OLYMPUS GENERATOR OR THE DEVICE SETTINGS COULD NOT BE RULED OUT AS CONTRIBUTORY FACTORS TO THE REPORTED EVENT. THIS REPORT IS BEING SUBMITTED AS A MEDICAL DEVICE IN AN ABUNDANCE OF CAUTION.