BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COVIDIEN LIGASURE IMPACT INSTRUMENT

    MDR report key: 2921433 · Received January 15, 2013

    Report

    Report Number
    2921433
    Event Type
    Malfunction
    Date Received
    January 15, 2013
    Date of Event
    December 12, 2012
    Report Date
    January 15, 2013
    Manufacturer
    STRYKER SUSTAINABILITY SOLUTIONS
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NV, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHILE ATTEMPTING TO USE, THE EQUIPMENT STUCK WHEN MD TRIED TO RELEASE. HAD TO CALL AND USE BACK-UP EQUIPMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    22060 COVIDIEN LIGASURE IMPACT INSTRUMENT ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI STRYKER SUSTAINABILITY SOLUTIONS * 2073593

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR