FDA Adverse Event
Malfunction
Summary report: N
1 HARMONIC SCAPEL
MDR report key: 1011163
·
Received February 15, 2008
Report
- Report Number
- 1011163
- Event Type
- Malfunction
- Date Received
- February 15, 2008
- Date of Event
- January 8, 2008
- Report Date
- February 15, 2008
- Manufacturer
- ETHICON ENDO- SURGERY INC
- Product Code
- LFL
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
DURING PROCEDURE, THE DISPOSABLE HARMONIC SHEARS STOPPED CUTTING. THE SHEARS WERE RINSED AND RETESTED. NOT CUTTING. THE CORD WAS TESTED - NO FAILURE DETECTED. THE GENERATOR WAS WORKING FINE. THE SHEARS WERE REPLACED WITH NEW ONES, AND THE PROCEDURE CONTINUED WITHOUT FURTHER INCIDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 1 HARMONIC SCAPEL | SHEARS, HARMONIC | LFL | ETHICON ENDO- SURGERY INC | * | D4JV05 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |