FDA Adverse Event
Malfunction
Summary report: N
HARMONIC ACE
MDR report key: 8662320
·
Received June 3, 2019
Report
- Report Number
- 8662320
- Event Type
- Malfunction
- Date Received
- June 3, 2019
- Date of Event
- May 22, 2019
- Report Date
- May 28, 2019
- Manufacturer
- INTUITIVE SURGICAL, INC.
- Product Code
- NAY
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
SHEARS WOULD NOT OPEN/WORK. THIS OCCURRED WITH NO PATIENT HARM. MANUFACTURER RESPONSE FOR HARMONIC ACE CURVED SHEARS, HARMONIC ACE CURVED SHEARS DA VINCI (PER SITE REPORTER): INVESTIGATION TO BE CONDUCTED ON DEVICE FAILURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 456540 | HARMONIC ACE | SYSTEM,SURGICAL,COMPUTER CONTROLLED INSTRUMENT | NAY | INTUITIVE SURGICAL, INC. | 480275 | 00886874112731 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |