FDA Adverse Event Malfunction Summary report: N

LIGASURE ATLAS HANDSWITCHING 37CM

MDR report key: 3063426 · Received March 28, 2013

Report

Report Number
3006451981-2013-00068
Event Type
Malfunction
Date Received
March 28, 2013
Date of Event
February 4, 2013
Report Date
March 4, 2013
Manufacturer
COVIDIEN MEDICAL PRODUCTS SHANGHAI MANUFACTURING. LLC
Product Code
GEI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). ONE USED DEVICE WAS RETURNED FOR EVAL. VISUAL INSPECTION NOTED THE CORD HAD BEEN CUT OFF BY THE SITE. BECAUSE THE CORD HAD BEEN CUT OFF, FUNCTIONAL TESTING COULD NOT BE PERFORMED. THUS, COVIDIEN QA COULD NOT CONFIRM THE CUSTOMER'S REPORT.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE LIGASURE DEVICE DID NOT SEEM TO SEAL PROPERLY FOR THE ENTIRE LENGTH OF A GASTRIC SLEEVE SURGERY. THE DEVICE WAS USED FOR THE DURATION OF THE PROCEDURE. MUCH OOZING OCCURRED THROUGHOUT THE CASE EVEN AFTER MULTIPLE ENDTONES (INDICATING COMPLETED SEAL CYCLES) WERE HEARD. THERE WAS NO PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
129199 LIGASURE ATLAS HANDSWITCHING 37CM LIGASURE VESSEL SEALING DEVICE GEI COVIDIEN MEDICAL PRODUCTS SHANGHAI MANUFACTURING. LLC S2H0022PX

Patients

Seq Age Sex Outcome Treatment
1 56 YR