BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LIGASURE

    MDR report key: 9447225 · Received December 10, 2019

    Report

    Report Number
    3006451981-2019-00247
    Event Type
    Malfunction
    Date Received
    December 10, 2019
    Date of Event
    November 12, 2019
    Report Date
    January 29, 2020
    Manufacturer
    COVIDIEN MEDICAL PRODUCTS
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 0

    EVALUATION SUMMARY: ONE DEVICE WAS RECEIVED FOR EVALUATION. FUNCTIONAL TESTING WAS PERFORMED WITH THE RETURNED DEVICE ON PORCINE KIDNEY TISSUE. MULTIPLE SEALS ON VARIOUS SIZE VESSELS WERE MADE WITH VISUALLY ACCEPTABLE RESULTS. ALL SEAL CYCLES WERE COMPLETED SATISFACTORILY AND END TONES WERE HEARD INDICATING COMPLETED ACTIVATION CYCLES. NO TISSUE-STICKING WAS OBSERVED. THE KNIFE CUT OF THE DEVICE WAS TESTED ON A SILICONE TEST STRIP WITH ACCEPTABLE RESULTS. THE BLADE MOVED SMOOTHLY ALONG THE KNIFE TRACK AND RETURNED TO THE HOME POSITION WHEN THE TRIGGER WAS RELEASED. THE INVESTIGATION FOUND THE DEVICE TO FUNCTION NORMALLY AND WITHIN SPECIFICATIONS. REFER TO THE PRODUCT INSTRUCTIONS FOR USE FOR RECOMMENDATIONS ON TISSUE SEALING. THE INSTRUCTIONS FOR USE(IFU) STATES, KEEP THE INSTRUMENT JAWS CLEAN. BUILD-UP OF ESCHAR MAY REDUCE THE SEAL AND / OR CUTTING EFFECTIVENESS. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

    Additional Manufacturer Narrative · 1

    THIS PRODUCT IS NOT SOLD IN US AND IS 510(K) EXEMPT. THIS REPORT IS ASSOCIATED TO A SIMILAR PRODUCT SOLD IN THE US WITH 510(K) NUMBER K102470. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

    Description of Event or Problem · 1

    ACCORDING TO THE REPORTER, DURING A PEDIATRIC SURGERY, THE DEVICE HAD "BAD SEAL" DESPITE THAT IT WAS SET TO THE MAXIMUM. A NEW SIMILAR DEVICE WAS USED TO COMPLETE THE CASE. THERE WAS NO PATIENT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1242125 LIGASURE ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI COVIDIEN MEDICAL PRODUCTS LF1212 S9FH722X

    Patients

    Seq Age Sex Outcome Treatment
    1