DYNJ46424C

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-08-28 for DYNJ46424C manufactured by Medline Industries Inc..

Event Text Entries

[118723749] It was reported that during an anterior cervical diskectomy and fusion at cervical 6-7 with c-arm, the cautery device caught fire. Reportedly, at the time of the fire, the cautery device had been put "back into the pouch until next use. " this incident occurred after the cautery device was initially used. According to the facility, the fire "went out after 2 seconds by itself. " it was not identified which part of the device caught on fire. A new cautery device and tip were obtained and the procedure was completed without further reported incident. The patient was under general anesthesia at the time of this incident. There was no reported increase in overall procedure time or need for additional anesthesia. The facility did not identify if the cautery device had been on cut or coag mode prior to the incident. The generator's make, model, settings, and mode were not identified by the facility. There was no reported impact to the patient, to a staff member, or to the procedure. The cautery device was returned to the manufacturer for evaluation. The cautery device functioned nominally in both cut and coag modes. The cautery device shut off immediately after the push button was released. There was no fire or delay in functionality noted during sample investigation. The reported product issue could not be confirmed. A root cause could not determined. Due to the reported incident, and in an abundance of caution, this medwatch is being filed. If additional relevant information becomes available, a supplemental medwatch will be filed.
Patient Sequence No: 1, Text Type: N, H10


[118723850] It was reported that during an anterior cervical diskectomy and fusion at cervical 6-7 with c-arm, the cautery device caught fire.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1423395-2018-00045
MDR Report Key7823573
Date Received2018-08-28
Date of Report2018-08-28
Date of Event2018-07-18
Date Mfgr Received2018-08-09
Date Added to Maude2018-08-28
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 ContactNIGEL VILCHES
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD IL 600932753
Manufacturer CountryUS
Manufacturer Postal600932753
Manufacturer Phone2249311458
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameCAUTERY DEVICE IN NEURO BASIC
Product CodeOJG
Date Received2018-08-28
Returned To Mfg2018-08-27
Catalog NumberDYNJ46424C
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 600932753 US 600932753


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-08-28

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