NANOKNIFE SYSTEM 20300101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2014-05-30 for NANOKNIFE SYSTEM 20300101 manufactured by Angiodynamics.

Event Text Entries

[17987008] As reported on (b)(6), 2014, a (b)(6), male patient presented for a lecd thermal ablation of the liver. During the ablation, it was noted the patient's heart rate had increased from the mid 80's to 150 beats per minute. The anesthesia nurse administered medication to reduce the heart rate. The medication administered successfully reduced the patient's heart rate to 115 beats per minute. The treating physician determined to cancel the procedure due to the event. There was no report of permanent harm or injury to the patient due to the event. The nanoknife system was reported as retained by the user.
Patient Sequence No: 1, Text Type: D, B5


[18233166] The reported defective device has been retained by the user. The firm is attempting to obtain the device as well as additional information as the patient's well being. An investigation into the root cause for product problem is currently in progress. The results of the device evaluation will be sent via a follow up medwatch. There was no report of permanent harm or injury to the patient due to this event. A review of the device history records was performed for the serial number (b)(4). The unit received an annual preventative maintenance/calibration in (b)(6) 2013. There have been no repairs, servicing and/or upgrades to the unit since that time. The review confirms that the unit met all material, assembly, and performance specifications. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1319211-2014-00071
MDR Report Key3853527
Report Source05
Date Received2014-05-30
Date of Report2014-05-06
Date of Event2014-05-05
Date Mfgr Received2014-05-06
Date Added to Maude2014-06-09
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, INC.
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 SYSTEM
Generic NameLECD THERMAL ABLATION SYSTEM
Product CodeOAB
Date Received2014-05-30
Model Number20300101
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerANGIODYNAMICS
Manufacturer AddressQUEENSBURY NY US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-05-30

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