FDA Adverse Event Malfunction Summary report: N

LIGASURE ATLAS HANDSWITCHING 20CM

MDR report key: 1264724 · Received November 14, 2008

Report

Report Number
1717344-2008-00520
Event Type
Malfunction
Date Received
November 14, 2008
Date of Event
October 15, 2008
Report Date
October 16, 2008
Manufacturer
COVIDIEN LP (US SURGICAL)
Product Code
GEI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A VISUAL INSPECTION OF THE INCIDENT DEVICE REVEALED TISSUE IN-BETWEEN THE JAWS. TESTS FOR RESISTANCE, JAW GAP AND JAW SPLAY WERE WITHIN THE ALLOWED RANGE. THE DEVICE WAS TESTED ON SIMULATED TISSUE FOR PROPER ACTIVATION AND KNIFE FUNCTION WITH ACCEPTABLE RESULTS. THERE IS A NOTICE IN THE INSTRUCTIONS FOR USE (IFU) THAT STATES, "DO NOT TURN THE ROTATION WHEEL WHEN THE HANDLE IS LATCHED. PRODUCT DAMAGE MAY OCCUR. THE JAWS MAY LOCK IN THE CLOSED POSITION." ADDITIONALLY, COVIDIEN LP (FORMERLY VALLEYLAB) HAS FOUND THAT IF THE JAWS ARE NOT CLEANED AS INSTRUCTED IN THE IFU, ESCHAR CAN BUILD UP AND CAUSE THE JAWS TO STICK TO THE SEALED TISSUE. COVIDIEN LP (FORMERLY VALLEYLAB) HAS ISSUED A HOTLINE BULLETIN TO INFORM CUSTOMERS ON HOW TO AVOID TISSUE BUILDUP THAT CAN LEAD TO STICKING.

Description of Event or Problem · 1

THE REPORT STATED THAT THE DEVICE STUCK ON TISSUE AND HAD TO BE CUT OUT. THERE WAS NO PT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LIGASURE ATLAS HANDSWITCHING 20CM LIGASURE VESSEL SEALING SYSTEM GEI COVIDIEN LP (US SURGICAL) U8A117K

Patients

Seq Age Sex Outcome Treatment
1 UNK