NANOKNIFE SYSTEM 20300101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,user facility report with the FDA on 2014-05-27 for NANOKNIFE SYSTEM 20300101 manufactured by Angiodynamics.

Event Text Entries

[4591632] As reported on (b)(6) 2014, pt of unk gender and age presented for a lecd thermal ablation. During the procedure, it was reported the nanoknife unit experienced a hardware communication error message, shutting the unit down. The unit was rebooted several times, and the procedure was successfully completed using this same unit. However due to the extended delay during the procedure, the pt was administered additional medication. It was reported the pt suffered no harm or injury due to the event. It was reported the nanoknife system is available for return for evaluation to the mfr.
Patient Sequence No: 1, Text Type: D, B5


[12017865] It was reported that the device involved in the incident is available to be returned to the mfr for evaluation. To date, the device has yet to be returned. Attempts are being made to obtain the device. An investigation into the root cause for event is currently in progress. A review of the device history records was performed for the serial number (b)(4). The review confirms that the unit met all material, assembly, and performance specifications. The results of the unit evaluation will be sent via a follow up medwatch. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[66370945] The ire generator (serial number (b)(4)) received field service by an angiodynamics' field service engineer. No defects of the generator were noted during initial assessment. Functional assessment was performed on the unit. The unit met all acceptance criteria. There was no report of harm or injury to the patient due to the procedure being prolonged. The reported complaint description could not be confirmed as the unit functioned as intended during testing and no errors were found in the log files. A root cause for the complaint description could not be determined as no defects were found with the generator. A review of the device history records was performed for the serial number (b)(4). The review confirms that the unit met all material, assembly, and performance specifications. The user manual, provided to the user with the system instructs the user on how to troubleshoot when the generator fails self-testing as well as unit shut down issues. The catalog and lot number of the disposable probe used during the event was not reported by the user. A review of the angiodynamics complaint system noted no trends for this complaint type and product family. This type of complaint will continue to be monitored for trends.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1319211-2014-00069
MDR Report Key3881761
Report Source06,USER FACILITY
Date Received2014-05-27
Date of Report2014-05-09
Date of Event2014-05-09
Date Mfgr Received2014-05-09
Device Manufacturer Date2012-07-01
Date Added to Maude2014-07-02
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 FDA3
Event Location3
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 SYSTEM
Generic NameLECD THERMAL ABLATION SYSTEM
Product CodeOAB
Date Received2014-05-27
Model Number20300101
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerANGIODYNAMICS
Manufacturer AddressQUEENSBURY NY US


Patients

Patient NumberTreatmentOutcomeDate
10 2014-05-27

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