BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ENDO WRIST VESSEL SEALER

    MDR report key: 3080398 · Received April 23, 2013

    Report

    Report Number
    MW5029931
    Event Type
    Injury
    Date Received
    April 23, 2013
    Date of Event
    April 10, 2013
    Report Date
    April 17, 2013
    Manufacturer
    INTUITIVE SURGICAL INC
    Product Code
    NAY
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DA VINCI VESSEL SEAL 8 MM - THE CAUTERY ASPECT OF DEVICE NOT WORKING PROPERLY. DA VINCI VESSEL SEAL 8 MM - THE DISTAL END OF DEVICE - THE SPRING ASPECT - MALFUNCTIONED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    175198 ENDO WRIST VESSEL SEALER NONE NAY INTUITIVE SURGICAL INC 410322 S11121217
    175199 ENDO WRIST VESSEL SEALER NONE NAY INTUITIVE SURGICAL INC 410322 10121107

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Required Intervention