CONMED 60-6900-001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04,06 report with the FDA on 2007-08-15 for CONMED 60-6900-001 manufactured by Conmed Electrosurgery.

Event Text Entries

[21344460] Conmed electrosurgery received a suction coagulator. Esu interface was performed, the device was tested in all modes and the returned foot controlled suction coagulator passed, it operated as expected. There was no damage or breakdown with the insulation. During the esu interface the returned foot control suction coagulator under test sparked only at the tip of the tube; this is expected as designed. The reported malfunction was not confirmed.
Patient Sequence No: 1, Text Type: N, H10


[21591499] Burn just outside the right corner of the patient's mouth during a tonsillectomy. Dr. Seemed to think the burn was caused by insulation failure, because the suction coagulator often rests alongside that part of the anatomy during this type of procedure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1720159-2007-00038
MDR Report Key898064
Report Source04,06
Date Received2007-08-15
Date of Report2007-08-13
Date of Event2007-07-18
Date Mfgr Received2007-07-19
Date Added to Maude2007-08-20
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 FDA0
Event Location0
Manufacturer ContactJEFF DICKINSON
Manufacturer Street14603 EAST FREMONT AVENUE
Manufacturer CityCENTENNIAL CO 80112
Manufacturer CountryUS
Manufacturer Postal80112
Manufacturer Phone8005520138
Manufacturer Street7211 SOUTH EAGLE ST.
Manufacturer CityCENTENNIAL CO 80112
Manufacturer CountryUS
Manufacturer Postal Code80112
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCONMED
Generic NameSUCTION COAGULATOR
Product CodeFEH
Date Received2007-08-15
Returned To Mfg2007-07-26
Model Number60-6900-001
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key874599
ManufacturerCONMED ELECTROSURGERY
Manufacturer AddressCENTENNIAL CO 80112 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2007-08-15

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