inforMED
MalfunctionNLW

NA

Received May 24, 2012

Report 2134070-2012-00074 · MDR key 2591238

Device

Generic name

Endoscopic Electrode (nlw)

Manufacturer

Sterilmed, Inc.

Model number

27040G

Product problems

  • Failure to Align

Patient

Not reported

  • No Information

Narrative

Description of Event or Problem

IT WAS REPORTED THAT AN ENDOSCOPIC ELECTRODE HAD AN IMPROPER ANGLE TO IT.

Additional Manufacturer Narrative

FINAL INVESTIGATION SHOWED THAT THE LOOP OF THE DEVICE WAS BROKEN, AND THERE WERE BURNED AREAS ON THE LOOP AND SHEATHING. IT APPEARED THAT A PIECE OF THE ELECTRODE LOOP WAS MISSING.