inforMED
MalfunctionFFZ

USA ELITE/USA SERIES DISPOSABLE ACTIVE CORD

Received Mar 15, 2001 · Event occurred Dec 27, 2000

Report 1519132-2001-00017 · MDR key 322116

Device

Generic name

500

Manufacturer

Circon Acmi

Model number

DAC

Catalog number

DAC

Lot number

NI

Product problems

  • Thermal Decomposition of Device
  • Material Frayed
  • Replace

Patient

NO INFO

  • Burn(s)
  • Treatment with medication(s)

Narrative

Description of Event or Problem

A TURP PROCEDURE WAS BEING PERFORMED ON THE PT. FRAYED CORD ON BOVIE ELECTRICAL CONNECTION TO THE CUTTING LOOP. OPEN ELECTRICAL WIRE BURNED GLOVE AND THE SURGEON'S HAND AT THE RIGHT INDEX KNUCKLE. REPORTED TO THE DEPT SUPERVISOR. CHANGED TO NEW CORD AND PROCEDURE CONTINUED. NO INJURY TO THE PT. PHYSICIAN SUSTAINED BURN APPROX 1/2 INCH AROUND. MEDICATION APPLIED.