inforMED
MalfunctionFFZ

UNIVERSAL ACTIVE CORD

Received Aug 11, 2005 · Event occurred Jul 6, 2005

Report 1037905-2005-00080 · MDR key 718063

Device

Generic name

Miscellaneous

Model number

NA

Catalog number

ACU-1-VL

Lot number

W2079445

Product problems

  • Loose
  • Use of Device Problem

Patient

55 YR

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

THE PHYSICIAN USED A WILSON-COOK UNIVERSAL ACTIVE CORD WITH A SNARE. THE REPORT INDICATED DURING THE INITIAL USE THE ACTIVE CORD DID NOT CONNEC SECURELY TO THE SNARE. THE PROCEDURE WAS COMPLETED SUCCESSFULLY AND THE ACTIVE CORD WAS NOT REUSED. POST PROCEDURE THE PT'S CONDITION WAS REPORTED TO BE FINE.