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