inforMED
InjuryFAR

ELECTROSURGICAL UNIT/FOOT PEDAL

Received Aug 16, 1993 · Event occurred Jul 7, 1993

Report 6269 · MDR key 6269

Device

Generic name

Electrosurgical Generator/foot Pedal

Manufacturer

Valleylab

Model number

FORCE 4/E6008

Catalog number

N/A

Lot number

N/A

Patient

65 YR

Narrative

Description of Event or Problem

THE FOOT PEDAL OF THE ELECTROSURGICAL DEVICE STUCK DURING SURGERY AND CAUSED INJURY TO THE PATIENTDEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.DEVICE SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: 01-AUG-92. SERVICE PROVIDED BY: USER FACILITY BIOMEDICAL/BIOENGINEERING DEPARTMENT. SERVICE RECORDS AVAILABLE.NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.INVALID DATA - REGARDING EVALUATION BY USER AFTER EVENT. METHOD OF EVALUATION: NONE OR UNKNOWN. RESULTS OF EVALUATION: NONE OR UNKNOWN. CONCLUSION: NONE OR UNKNOWN. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: DEVICE PERMANENTLY REMOVED FROM SERVICE. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.