SONASTAR XS-CURVED EXTENDED HANDPIECE
Received Feb 3, 2005 · Event occurred Oct 7, 2004
Report 2435119-2005-00003 · MDR key 574603
Device
Generic name
Ultrasonic Surgical Aspirator Handpiece
Manufacturer
Misonix, Inc.Model number
SONASTAR XSE CECatalog number
CFSX6-H212 (MC585)
Lot number
*
Product problems
- Device Remains Activated
Patient
UNKNOWN
- Surgery, prolonged
Narrative
Description of Event or Problem
USED DURING CRANIECTOMY FOR TUMOR, IRRIGATION WILL NOT SHUT OFF AFTER TWO MINUTES AS DESCRIBED TO CUSTOMER. IRRIGATION WAS RUNNING CONTINUOUSLY FOR APPROXIMATELY 1 HOUR BUT WAS NOT UTILIZED DURING PROCEDURE, AT THAT POINT (400 CC OF FLUID). SUCTION WAS ON ZERO, HOWEVER, IT WAS SUCTIONING. SURGEON STATES THAT IT WAS TOO MUCH. PLUGGED IN COAGULATION AND BOVIE, TURNED IT ON, UNIT CONTINUALLY RAN. UNABLE TO TURN IT OFF. THEY MUST UNPLUG FROM WALL. NO ALARMS ON DEVICE AND ULTRASONICS WERE NOTED AS RUNNING FINE. AT THE TIME OF THE CALL THE PATIENT HAD NOT SUFFERED ANY ADVERSE EFFECTS AS A RESULT OF THE INCIDENT. SURGERY WAS PROLONGED APPROXIMATELY 1 HOUR.