FDA Adverse Event
Malfunction
Summary report: N
LIGASURE ADVANCED MONOPOLAR SEALER/DIVIDER
MDR report key: 2926574
·
Received January 18, 2013
Report
- Report Number
- 2926574
- Event Type
- Malfunction
- Date Received
- January 18, 2013
- Date of Event
- January 15, 2013
- Report Date
- January 18, 2013
- Manufacturer
- COVIDIEN, FORMERLY VALLEYLAB, A DIVISION OF TYCO HEALTHCARE
- Product Code
- GEI
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- FL, US
Narratives
Description of Event or Problem · 1
AFTER MULTIPLE FIRES, THE INSTRUMENT WOULD NOT CUT. THEN GENERATOR, HANDPIECE, PATIENT, AND CORDS WERE ALL INSPECTED. NO IMMEDIATE HARM WAS DONE TO THE PATIENT. A NEW HANDPIECE WAS OPENED AND WAS FUNCTIONAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 27900 | LIGASURE ADVANCED MONOPOLAR SEALER/DIVIDER | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES | GEI | COVIDIEN, FORMERLY VALLEYLAB, A DIVISION OF TYCO HEALTHCARE | * | 243967X |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR |