inforMED
InjuryJOS

EZ CLEAN ELECTRODE, NEEDLE, MODIFIED

Received Feb 14, 2018 · Event occurred Jan 5, 2018

Report 1721194-2018-00003 · MDR key 7270798

Device

Generic name

Ez Clean Electrode, Needle, Modified

Model number

0013M

Catalog number

0013M

Lot number

UNKNOWN

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • Burn(s)
  • Burn(s)

Narrative

Additional Manufacturer Narrative

WITHOUT THE LOT NUMBER WE ARE UNABLE TO IDENTIFY THE MANUFACTURER OR EXPIRATION DATE OF THE DEVICE. REPEATED REQUESTS TO THE USER FACILITY HAVE BEEN UNSUCCESSFUL IN GAINING ACCESS TO THE DEVICE OR OBTAIN ADDITIONAL INFORMATION FOR FURTHER INVESTIGATION. WITHOUT THE LOT NUMBER WE ARE UNABLE TO PERFORM A DEVICE HISTORY RECORD. A REVIEW OF THE PRODUCT HISTORY REVEALS THIS DEVICE TO BE A RELIABLE COMPONENT OF ELECTROSURGERY AND THERE IS NO EVIDENCE TO SUGGEST A DEVICE DEFECT OR MALFUNCTION. ALL THOUGH WE HAVE NOT BEEN ABLE TO CONFIRM THE EVENT, THE REPORT OF A OR FIRE IS INHERENT RISK WHILE USING ELECTROSURGERY AND THE CAUSES CAN BE VARIOUS.

Description of Event or Problem

CAUTERY PENCIL IN USE DURING PROCEDURE, RESULTING IN OR FIRE AND PATIENT INJURY.