BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ETHICON ENDO-SURGERY, INC

    MDR report key: 2500947 · Received March 19, 2012

    Report

    Report Number
    MW5024707
    Event Type
    Malfunction
    Date Received
    March 19, 2012
    Date of Event
    March 15, 2012
    Report Date
    March 19, 2012
    Product Code
    LFL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MS, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ASCENT HARMONIC HANDPIECE CAME APART UPON OPENING PACKAGE AT THE HANDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON ENDO-SURGERY, INC HARMONIC ACE SHEARS WITH ERGONOMIC HANDLE, 5.5 DIA LFL ACE 36E 1026391

    Patients

    Seq Age Sex Outcome Treatment
    1