BEUDAMED
    FDA Adverse Event Summary report: N

    HARMONIC SCALPEL

    MDR report key: 743432 · Received June 7, 2005

    Report

    Report Number
    MW1035690
    Date Received
    June 7, 2005
    Date of Event
    February 15, 2005
    Manufacturer
    ETHICON ENDO - SURGERY INC.
    Product Code
    LFL
    Report Source
    Voluntary report
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DR WAS DOING A LAPAROSCOPIC SUPRA CERVICAL HYSTERECTOMY LSO, ONE OF THE TIPS OF THE HAND CONTROLLED HARMONIC SCISSORS, BROKE OFF IN THE PT'S ABDOMEN - DR LOOKED FOR IT & TRIED TO RETRIEVE IT BUT WAS UNABLE TO DO SO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HARMONIC SCALPEL ULTRACISION HAND CONTROL LFL ETHICON ENDO - SURGERY INC. * U43163

    Patients

    Seq Age Sex Outcome Treatment
    1 *