BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COVIDIEN

    MDR report key: 2544721 · Received April 16, 2012

    Report

    Report Number
    MW5025113
    Event Type
    Injury
    Date Received
    April 16, 2012
    Date of Event
    April 16, 2012
    Report Date
    April 16, 2012
    Manufacturer
    COVIDIEN
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    LIGASURE IMPACT HAND ACTIVATED SEALER/DIVIDER STOPPED WORKING WHILE IN USE DURING SURGICAL PROCEDURE. USED APPROX 15-20 MINS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COVIDIEN LIGASURE IMPACT HAND ACTIVATED SEALER/DIVIDER GEI COVIDIEN LF4200 1933941

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Disability