BEUDAMED
    FDA Adverse Event Other Summary report: N

    COVIDIEN

    MDR report key: 2820958 · Received October 30, 2012

    Report

    Report Number
    MW5027451
    Event Type
    Other
    Date Received
    October 30, 2012
    Date of Event
    October 10, 2012
    Report Date
    October 30, 2012
    Manufacturer
    COVIDIEN
    Product Code
    GEI
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    LIGASURE -5MM-37CM- DISPOSABLE FAILED TO RELEASE TISSUE DURING SURGERY. DID EVENTUALLY RELEASE WITHOUT ANY HARM TO TISSUE AND LIGASURE REPLACED WITH NEW DEVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COVIDIEN LIGASURE GEI COVIDIEN 240324X

    Patients

    Seq Age Sex Outcome Treatment
    1 19 YR