FDA Adverse Event
Malfunction
Summary report: N
ENSEAL X1 TISSUE SEALER
MDR report key: 15754787
·
Received November 7, 2022
Report
- Report Number
- MW5113151
- Event Type
- Malfunction
- Date Received
- November 7, 2022
- Date of Event
- October 26, 2022
- Report Date
- November 3, 2022
- Manufacturer
- ETHICON ENDO-SURGERY, LLC.
- Product Code
- GEI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PER SURGEON, ETHICON ENSEAL DEVICE PROVIDED BY PVH IS SUBSTANDARD, AND DOES NOT SEAL, CAUSING BLEEDING AND REQUEST TO OPEN A MONOPOLAR DEVICE TO FINISH PROCEDURE. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1512788 | ENSEAL X1 TISSUE SEALER | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES | GEI | ETHICON ENDO-SURGERY, LLC. | NSLX137S | X95G4D |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Female |