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
ValleylabModel number
FORCE 4/E6008Catalog 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.