CONCEPT 9900

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-08-19 for CONCEPT 9900 manufactured by Concept Incorporated.

Event Text Entries

[15376653] During a surgical procedure, the patient sustained a small burn to her shoulder because the grounding pad used with the concept cautery unit became partially dislodged from the patient. After the incident, the concept unit was checked thoroughly by our biomedical engineering department and was found to be in perfect working order. As a result of this incident, we decided to purchase cautery equipment which is equipped with an alarm system which is triggered in the event that a grounding pad inadvertently becomes dislodged. As of this date, we have replaced all concept units. There was no equipment failure involved in this incident. Device not labeled for single use. Patient medical status prior to event: invalid data. There was not multiple patient involvement. Device serviced in accordance with service schedule. Date last serviced: 01-mar-92. Service provided by: user facility biomedical/bioengineering department. Service records available. No imminent hazard to public health claimed. Device used as labeled/intended. Device was evaluated after the event. Method of evaluation: actual device involved in incident was evaluated. Results of evaluation: telemetry failure. Conclusion: there was no device failure. Certainty of device as cause of or contributor to event: invalid data. Corrective actions: device permanently removed from service. The device was not destroyed/disposed of.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number4460
MDR Report Key4460
Date Received1992-08-19
Date of Report1992-07-30
Date of Event1992-03-11
Date Facility Aware1992-03-11
Report Date1992-07-30
Date Reported to FDA1992-07-30
Date Reported to Mfgr1992-07-29
Date Added to Maude1993-05-25
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameCONCEPT
Generic NameELECTROSURGICAL GENERATOR
Product CodeHQQ
Date Received1992-08-19
Model Number9900
Catalog Number9900
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Device Age01-JAN-85
Implant FlagN
Device Sequence No1
Device Event Key4181
ManufacturerCONCEPT INCORPORATED


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1992-08-19

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