NANOKNIFE SINGLE ELECTRODE PROBE, 15CM 20400101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2014-03-04 for NANOKNIFE SINGLE ELECTRODE PROBE, 15CM 20400101 manufactured by Angiodynamics.

Event Text Entries

[4365658] As reported (b)(6) 2014, a pt of unk age and gender presented for a nanoknife ablation procedure of the pancreas. During the procedure the treating physician noted high voltage registering between two probes. The voltage was adjusted down, and the treatment was initiated. The unit then displayed a high voltage and a mandatory stop message displayed. The treating physician shut down the unit, and exchanged the probes with a new of the same. Treatment was restarted, and the event reoccurred. The procedure was stopped at that time. There was no report of harm or injury to the pt due to this event. It was reported that the disposable device is available for return to the manufacturer for eval.
Patient Sequence No: 1, Text Type: D, B5


[11786961] The reported defective device has yet to be returned to the manufacturer for a device eval. The firm is attempting to obtain the device. An investigation into the root cause for product problem is currently in progress. The results of the device eval will be sent via a follow up medwatch. A review of the device history records was performed for the reported packaging and component lots for any deviations related to the reported defect of the complaint. The review confirms that the lots met all material, assembly, and performance specifications. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1319211-2014-00021
MDR Report Key3804612
Report Source06
Date Received2014-03-04
Date of Report2014-02-07
Date of Event2014-02-07
Date Mfgr Received2014-02-07
Device Manufacturer Date2013-11-01
Date Added to Maude2014-05-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactDAN ANDERSON
Manufacturer Street603 QUEENSBURY AVE.
Manufacturer CityQUEENSBURY NY 12804
Manufacturer CountryUS
Manufacturer Postal12804
Manufacturer Phone5187981215
Manufacturer G1ANGIODYNAMICS
Manufacturer Street603 QUEENSBURY AVE.
Manufacturer CityQUEENSBURY NY 12804
Manufacturer CountryUS
Manufacturer Postal Code12804
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNANOKNIFE SINGLE ELECTRODE PROBE, 15CM
Generic NameLECD THERMAL ABLATION SYSTEM
Product CodeOAB
Date Received2014-03-04
Catalog Number20400101
Lot Number131112
Device Expiration Date2016-11-30
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerANGIODYNAMICS
Manufacturer AddressQUEENSBURY NY US


Patients

Patient NumberTreatmentOutcomeDate
10 2014-03-04

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