FDA Adverse Event Malfunction Summary report: N

ENSEAL G2 CURVED JAW

MDR report key: 3935811 · Received July 15, 2014

Report

Report Number
3005075853-2014-04967
Event Type
Malfunction
Date Received
July 15, 2014
Date of Event
July 9, 2014
Report Date
July 9, 2014
Manufacturer
ETHICON ENDO-SURGERY, LLC.
Product Code
GEI
PMA / PMN Number
K112033
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). INFORMATION ANTICIPATED, BUT UNAVAILABLE AT THIS TIME. NO DEVICE RECEIVED FOR ANALYSIS AT TIME OF SUBMISSION OF 3500A. DEVICE EVALUATION - NO DEVICE RECEIVED FOR ANALYSIS AT TIME OF SUBMISSION OF 3500A. WHEN ADDITIONAL INFORMATION IS RECEIVED AND/OR THE DEVICE ANALYSIS HAS BEEN COMPLETED, A SUPPLEMENTAL MEDWATCH WILL BE SENT.

Additional Manufacturer Narrative · 1

(B)(4). ADDITIONAL INFORMATION: STICTION THE DEVICE WAS RECEIVED IN GOOD PHYSICAL CONDITION. IT WAS FOUND THAT THE DEVICE WAS SLOW TO RETURN TO A FULLY OPEN POSITION. THIS COULD HAVE IMPACTED THE OPENING AND CLOSING PERFORMANCE OF THE DEVICE. THE DEVICE WAS TESTED ON THE GENERATOR AND PASSED ALL FUNCTIONAL TESTING. THE ENERGY OUTPUT DELIVERED FROM THE DEVICE WAS VERIFIED AND THE CUTTING OF THE TEST MEDIA PERFORMED AS EXPECTED. ALL THREE TONES WERE HEARD DURING FUNCTIONAL TESTING (TONE 1 IS HEARD WHEN THE ENERGY ACTIVATION BUTTON IS PRESSED; TONE 2 IS HEARD WHEN TISSUE IMPEDANCE THRESHOLD IS REACHED; AND TONE 3 IS HEARD WHEN THE CYCLE IS COMPLETE). OPENING AND CLOSING OF THE JAWS MULTIPLE TIMES PRIOR TO USE WILL REDUCE OR ELIMINATE THIS ISSUE

Description of Event or Problem · 1

IT WAS REPORTED THAT THE JAWS WOULD NOT OPEN DURING A TLH. PROCEDURE COMPLETED USING AN ARTICULATING NSEAL. NO PATIENT CONSEQUENCES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
412675 ENSEAL G2 CURVED JAW ELECTROSURGICAL CUTTING & COAGULATION & ACCESSORIES GEI ETHICON ENDO-SURGERY, LLC. NA L4EM8J

Patients

Seq Age Sex Outcome Treatment
1 GENERATOR AND HANDPIECE