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