FDA Adverse Event Malfunction Summary report: N

LIGASURE ATLAS HANDSWITCHING 20CM

MDR report key: 3173162 · Received June 5, 2013

Report

Report Number
3006451981-2013-00171
Event Type
Malfunction
Date Received
June 5, 2013
Report Date
May 17, 2013
Manufacturer
COVIDIEN LLC (SHANGHAI)
Product Code
GEI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). ONE USED DEVICE WAS RETURNED FOR EVALUATION. VISUAL INSPECTION NOTED AN EXCESSIVE AMOUNT OF DRIED BLOOD AND TISSUE IN AND AROUND THE JAWS OF THE DEVICE. AFTER THE JAWS WERE FORCED OPEN, THEY LATCHED AND UNLATCHED NORMALLY. THE JAWS WERE CLEANED AND THE DEVICE WAS ACTIVATED ON SIMULATED TISSUE WITH ACCEPTABLE RESULTS. THE JAWS DID NOT STICK TO OR LOCK ONTO THE SIMULATED TISSUE. ALTHOUGH COVIDIEN CONFIRMED THE CUSTOMER'S REPORT, THE REPORTED EVENT IS ATTRIBUTED TO THE IMPROPER OR INFREQUENT CLEANING OF THE JAWS OF THE DEVICE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE JAWS OF THE DEVICE CLOSED AND WOULD NOT RE-OPEN. ADDITIONAL QUESTIONS HAVE BEEN ASKED OF THE SITE. TO DATE, THE SITE HAS NOT PROVIDED ADDITIONAL INFORMATION REGARDING THE DEVICE OR THE INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
249564 LIGASURE ATLAS HANDSWITCHING 20CM LIGASURE VESSEL SEALING SYSTEM GEI COVIDIEN LLC (SHANGHAI) S2G0005X

Patients

Seq Age Sex Outcome Treatment
1 UNK