BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ETHICON ENDO-SURGERY INC.

    MDR report key: 272825 · Received April 5, 2000

    Report

    Report Number
    MW1018600
    Event Type
    Malfunction
    Date Received
    April 5, 2000
    Date of Event
    March 23, 2000
    Report Date
    April 5, 2000
    Manufacturer
    ETHICON ENDO-SURGERY, INC.
    Product Code
    KNS
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WHEN ATTEMPTED TO USE HARMONIC SCALPEL THE HANDPIECE DID NOT WORK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON ENDO-SURGERY INC. 1 ULTRACISION HARMONIC SCALPEL LCS-5 KNIFE DOWN 15 MM ACTIVE KNS ETHICON ENDO-SURGERY, INC. LCSK5 5MM LCS N4GP9W

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Other