FDA Adverse Event Malfunction Summary report: N

EXCEL CONSOLE WITH FOOTSWITCH EACH1

MDR report key: 1860016 · Received September 17, 2010

Report

Report Number
3006697299-2010-00007
Event Type
Malfunction
Date Received
September 17, 2010
Report Date
September 17, 2010
Manufacturer
INTEGRA LIFESCIENCES (IRELAND) LTD.
Product Code
LFL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFORMATION.

Description of Event or Problem · 1

A CUSA EXCEL CONSOLE WORKED INTERMITTENTLY DURING A PRE-TEST BEFORE AN HEPATECTOMY. THE UNIT WAS IN CONTACT WITH THE PATIENT, THERE WAS NO INJURY INVOLVED WITH THIS REPORT AND THE EVENT DID NOT INCREASE THE SURGERY TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EXCEL CONSOLE WITH FOOTSWITCH EACH1 ULTRASONIC SURGICAL PRODUCTS LFL INTEGRA LIFESCIENCES (IRELAND) LTD. HGE1000702IE

Patients

Seq Age Sex Outcome Treatment
1