BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LIGASURE MARYLAND JAW LAPAROSCOPIC SEALER/DIVIDER

    MDR report key: 12377205 · Received August 26, 2021

    Report

    Report Number
    MW5103529
    Event Type
    Malfunction
    Date Received
    August 26, 2021
    Date of Event
    August 24, 2021
    Report Date
    August 24, 2021
    Manufacturer
    COVIDIEN LLC / COVIDIEN
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    FOLLOWING ONLY A FEW ACTIVATIONS, THE HANDLES TO THE LIGASURE BECAME VERY DIFFICULT TO MOVE. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1272428 LIGASURE MARYLAND JAW LAPAROSCOPIC SEALER/DIVIDER ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI COVIDIEN LLC / COVIDIEN LF1937 114570180X

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR