FDA Adverse Event Malfunction Summary report: N

LIGASURE ATLAS HANDSWITCHING 37CM

MDR report key: 3882823 · Received February 20, 2014

Report

Report Number
3006451981-2014-00514
Event Type
Malfunction
Date Received
February 20, 2014
Date of Event
October 30, 2013
Report Date
November 14, 2013
Manufacturer
COVIDIEAN LLC
Product Code
GEI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). ONE DEVICE WAS RETURNED AND EVALUATED. VISUAL INSPECTION FOUND NO RESIDUAL TISSUE INSIDE OF THE JAWS. THE JAWS WERE NOT STUCK SHUT AND THE HANDLE WAS LATCHED AND UNLATCHED WITHOUT DIFFICULTY. WHEN ACTIVATED ON PORCINE KIDNEY TISSUE, THE JAWS OPENED AND CLOSED NORMALLY; THE JAWS DID NOT STICK TO OR LOCK ONTO THE TISSUE. MULTIPLE SEALS ON VARIOUS SIZE VESSELS WERE MADE IN AN ATTEMPT TO DUPLICATE THE CUSTOMER'S COMPLAINT. ALL SEAL CYCLES COMPLETED SATISFACTORILY AND THE JAWS REOPENED WITHOUT DIFFICULTY OR LOCKING. THE INVESTIGATION FOUND THE DEVICE TO FUNCTION NORMALLY AND WITHIN SPECIFICATIONS. A DEVICE HISTORY REVIEW WAS COMPLETED AND NO ENTRIES PERTINENT TO THE CUSTOMER'S REPORT WERE NOTED. COVIDIEN COULD NOT CONFIRM THE CUSTOMER'S REPORT. INITIAL REPORT SENT UNDER MDR NUMBER 1717344-2013-00954.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE DEVICE WOULD NOT REOPEN WHILE APPLIED TO TISSUE. THE SURGEON REMOVED THE DEVICE BY PRYING IT OFF THE TISSUE WITH ANOTHER INSTRUMENT. THE SURGERY TIME WAS EXTENDED BY ONLY FIVE MINUTES. THERE WAS NO HARM TO THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
107708 LIGASURE ATLAS HANDSWITCHING 37CM LIGASURE VESSEL SEALING SYSTEM GEI COVIDIEAN LLC S3D0022X

Patients

Seq Age Sex Outcome Treatment
1 55 YR