LIGASURE ATLAS HANDSWITCHING 20CM
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
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.
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 |