BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COVIDIEN

    MDR report key: 3052827 · Received April 8, 2013

    Report

    Report Number
    MW5029696
    Event Type
    Malfunction
    Date Received
    April 8, 2013
    Date of Event
    March 27, 2013
    Report Date
    April 5, 2013
    Manufacturer
    COVIDIEN LLC
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    USED LIGASURE 5MM-37CM DISPOSABLE INSTRUMENT. THE INSTRUMENT CLOSED, BUT WOULD NOT RELEASE LIKE IT SHOULD-NO HARM TO PT. #(B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    144271 COVIDIEN LIGASURE GEI COVIDIEN LLC 250244X

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR