130MM X 2.3MM DIAMETER,CONCEPT HEATWAVE ELECTRODE, QTY 5 CS-023

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-11-30 for 130MM X 2.3MM DIAMETER,CONCEPT HEATWAVE ELECTRODE, QTY 5 CS-023 manufactured by Conmed Linvatec.

Event Text Entries

[32483352] Conmed received the three concept heatwave electrodes for evaluation on (b)(6) 2015. Visual inspection of the returned devices confirmed the side of each shaft was burnt and melted in appearance and a portion of the coating was missing. Upon further analysis by r&d engineering on 11/11/2015 using microscopic inspection, longitudinal marks along the length of the shrink tubing were observed. An investigation has been opened to address this issue. This device was manufactured on 17-apr-2015 in a lot of (b)(4) units. (b)(4)). A review of the device history record showed no anomalies or non-conformances during the manufacturing process. There have not been any other adverse events reported for this device. One other complaint report was opened for this device and lot number combination when two (2) additional units were returned unopened/unused. This failure mode is addressed in the fmea and the safety risk has been found to be acceptable. The product insert provides the following precaution: if any visual defects are noticed in the insulation, or the ceramic/insulation is damaged in any way, stop using the device immediately and replace the device.
Patient Sequence No: 1, Text Type: N, H10


[32483353] It was first reported by the customer on (b)(6) 2015, that three concept heatwave electrodes burned out during a single surgical procedure before the electrode could be used on the patient. There was no patient impact. Analysis of the returned electrodes by the r&d engineer on (b)(6) 2015, found that there was an insulation failure of the shrink tubing.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1017294-2015-00074
MDR Report Key5254667
Date Received2015-11-30
Date of Report2015-11-11
Date of Event2015-11-11
Date Mfgr Received2015-11-11
Device Manufacturer Date2015-04-17
Date Added to Maude2015-11-30
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 ContactMS. BRENDA JOHNSON
Manufacturer Street11311 CONCEPT BLVD.
Manufacturer CityLARGO FL 33773
Manufacturer CountryUS
Manufacturer Postal33773
Manufacturer Phone7273995515
Manufacturer G1CONMED LINVATEC
Manufacturer Street11311 CONCEPT BLVD.
Manufacturer CityLARGO FL 33773
Manufacturer CountryUS
Manufacturer Postal Code33773
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand Name130MM X 2.3MM DIAMETER,CONCEPT HEATWAVE ELECTRODE, QTY 5
Generic NameELECTRODE, ELECTROSURGICAL
Product CodeJOS
Date Received2015-11-30
Returned To Mfg2015-09-30
Catalog NumberCS-023
Lot Number643395
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCONMED LINVATEC
Manufacturer Address11311 CONCEPT BLVD. LARGO FL 33773 US 33773


Patients

Patient NumberTreatmentOutcomeDate
10 2015-11-30

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