inforMED
MalfunctionFLF

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 CE

Catalog 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.