DUAL DISPERSIVE ELECTRODE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-02 for DUAL DISPERSIVE ELECTRODE manufactured by Conmed Corporation.

Event Text Entries

[68849206] Pt was undergoing anal condyloma ablation with electrocautery. The pt was in the prone position, and dual dispersive electrode pad had been placed on his posterior thigh. The electrocautery generator indicated that the pad was connected effectively (green light). The coagulation was weak, with low suction. Therefore, the team switched to another cautery generator with an air filter smoke evacuator and the cautery continued to be weak. The disposable electrocautery pencil was then changed with no improvement in cautery. The green light was visible on both of the machines. The team then switched to a pressure dressing with surgicel to complete the case. When the drapes were removed, a burn area was noted on the pt's thigh and the electrode where the silver dispersive portion meets the white adhesive area. This was assessed and determined to be a full thickness burn (2cm by 8cm) surrounded by an area of erythema.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5068210
MDR Report Key6372983
Date Received2017-03-02
Date of Report2017-03-01
Date of Event2017-02-24
Date Added to Maude2017-03-02
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationATTORNEY
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDUAL DISPERSIVE ELECTRODE
Generic NameELECTRODE, ELECTROSURGICAL
Product CodeJOS
Date Received2017-03-02
Lot Number201612125
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No0
Device Event Key0
ManufacturerCONMED CORPORATION


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-03-02

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