inforMED
MalfunctionFAS

PK BUTTON FRONT LOADING ELECTRODE

Received Oct 3, 2011 · Event occurred Mar 15, 2011

Report 9617070-2011-00009 · MDR key 2665975

Device

Generic name

Pk Button Front Loading Electrode

Manufacturer

Gyrus Medical Ltd.

Model number

786500

Catalog number

786500

Lot number

UNK

Product problems

  • Insufficient Device Problem Information

Patient

Not reported

  • Hemorrhage/Blood Loss/Bleeding

Narrative

Additional Manufacturer Narrative

AT THE TIME OF THIS REPORT, MULTIPLE ATTEMPTS TO OBTAIN FURTHER INFO FROM THE HOSPITAL HAVE BEEN UNSUCCESSFUL. THE DEVICE HAS BEEN DISCARDED BY THE HOSPITAL. AS A RESULT, A DETERMINATION CANNOT BE MADE AT THIS TIME. IF FURTHER INFO BECOMES AVAILABLE, GYRUS ACMI WILL CONTINUE THE INVESTIGATION AND UPDATE THE AGENCY ACCORDINGLY.

Description of Event or Problem

AFTER TWO TURP PROCEDURE WHILE USING THE PKS SUPERPULSE GENERATOR (SEE MEDWATCH NUMBER: 9617070-2011-00003) AND THE PK BUTTON FRONT LOADING ELECTRODE, UNEXPECTED BLEEDING OCCURRED AND REQUIRED RE-ADMISSION AND FOLLOW UP SURGERY. THE ELECTRODE WAS NOT SAVED, IT WAS DISCARDED BY THE FACILITY. WE RECEIVED AN EMAIL ON (B)(6) 2011 STATING THAT THE GENERATOR IS STILL NOT BEING RELEASED FROM RISK MANAGEMENT. (SEE MEDWATCH NUMBER: 9617070-2011-00010 FOR THE 2ND ELECTRODE).