FDA Adverse Event
Malfunction
Summary report: N
ENSEAL X - LARGE TISSUE SEALER
MDR report key: 17967024
·
Received October 18, 2023
Report
- Report Number
- MW5147111
- Event Type
- Malfunction
- Date Received
- October 18, 2023
- Date of Event
- October 13, 2023
- Report Date
- October 16, 2023
- Manufacturer
- ETHICON ENDO-SURGERY, INC.
- Product Code
- GEI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
ENSEAL XLARGE JAW TISSUE SEALER REFERENCE NUMBER NSL X120L (LOT # "X7020N", DEVICE WAS GIVING ERROR TO "REPLACE INSTRUMENT ATTEMPTED TO REBOOT HARMONIC MACHINE BUT THE SAME ERROR MESSAGE CAME UP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 178410 | ENSEAL X - LARGE TISSUE SEALER | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES | GEI | ETHICON ENDO-SURGERY, INC. | NSLX120L | X7020N |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |