FDA Adverse Event
Malfunction
Summary report: N
JUSTRIGHT SEALER
MDR report key: 11640694
·
Received April 9, 2021
Report
- Report Number
- 11640694
- Event Type
- Malfunction
- Date Received
- April 9, 2021
- Date of Event
- March 16, 2021
- Report Date
- March 22, 2021
- Manufacturer
- JUSTRIGHT SURGICAL, LLC
- Product Code
- GEI
- UDI-DI
- 00865163000126
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- VA
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
DEVICE STOPPED WORKING, STOPPED SEALING TISSUE. MANUFACTURER RESPONSE FOR ELECTROSURGICAL, CUTTING COAGULATION ACCESSORIES, JUST RIGHT SEALER (PER SITE REPORTER).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 537139 | JUSTRIGHT SEALER | ELECTROSURGICAL, CUTTING COAGULATION ACCESSORIES | GEI | JUSTRIGHT SURGICAL, LLC | JR-SE20 | 75K12106 | 00865163000126 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |