FDA Adverse Event
Malfunction
Summary report: N
HARMONIC
MDR report key: 20063520
·
Received August 26, 2024
Report
- Report Number
- 20063520
- Event Type
- Malfunction
- Date Received
- August 26, 2024
- Date of Event
- July 26, 2024
- Report Date
- July 26, 2024
- Manufacturer
- ETHICON ENDO-SURGERY, LLC
- Product Code
- LFL
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- WI
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
PER DOCTOR, DEVICE DEFECTIVE, STOPPED WORKING DURING CASE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 245793 | HARMONIC | INSTRUMENT, ULTRASONIC SURGICAL | LFL | ETHICON ENDO-SURGERY, LLC | HAR1136 | Y7022C |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44 YR | Female |