FDA Adverse Event
Injury
Summary report: N
HARMONIC SCALPEL ULTRACISION LAPAROSONIC COAGULATING SHE
MDR report key: 304425
·
Received November 13, 2000
Report
- Report Number
- 1527736-2000-05690
- Event Type
- Injury
- Date Received
- November 13, 2000
- Date of Event
- October 18, 2000
- Report Date
- October 27, 2000
- Manufacturer
- ETHICON ENDO-SURGERY - ALB
- Product Code
- LFL
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT (1) DEVICE WAS USED DURING A LAPAROSCOPIC SPLENECTOMY. IT WAS REPORTED BY THE REP THAT WHILE USING THE LCSC5 DURING THE CASE, THE SURGEON WAS DISSECTING SHORT GASTRIC, WHEN ACTIVE BLADE OF LCS CAME IN CONTACT WITH SPLENIC ARTERY. THIS CONTACT CAUSED AN OPENING IN THE SPLENIC ARTERY. THE SURGEON DECIDED TO CONVERT TO OPEN TO COMPLETE THE CASE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HARMONIC SCALPEL ULTRACISION LAPAROSONIC COAGULATING SHE | ULTRASONIC-SURGERY DEVICES - ENDOSC | LFL | ETHICON ENDO-SURGERY - ALB | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |