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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON ENDO-SURGERY, LLC. ENSEAL G2 CURVED JAW 25CM; ELECTROSURGICAL CUTTING & COAGULATION & ACCESSORIES

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ETHICON ENDO-SURGERY, LLC. ENSEAL G2 CURVED JAW 25CM; ELECTROSURGICAL CUTTING & COAGULATION & ACCESSORIES Back to Search Results
Model Number NSLG2C25
Device Problems Detachment of Device or Device Component (2907); Difficult to Open or Close (2921); Material Integrity Problem (2978)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/18/2022
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Batch # x95823.Investigation summary : the product was returned for evaluation.Visual inspection and functional testing were conducted on the returned device.Visual analysis of the returned sample revealed that the nslg2c25 device was returned with the bottom portion of the i blade out of the lower jaw channel; the lower jaw channel was damaged.The pc and the i blade were not damaged as reported.The device was connected to the generator and it was recognized.Because of the condition of the device not all functional testing could be performed with the generator.The jaw was unable to cycle open and close.A probable cause of the damage to the jaw could be not allowing thick and fibrous tissues to denature prior to i-blade advancement.As described in the ifu: do not use excessive force on the closing handle to close the jaws; grasp only as much tissue as will fit between the jaws where the current will pass.Greater amounts of tissue require more closing handle force.Excessive force could damage the device.As part of ethicon endo surgery¿s quality process, all devices are manufactured, inspected, and released to approved specifications.A manufacturing record evaluation was performed for the finished device batch x95823, and no non-conformance were identified.Additional information was requested, and the following was obtained: did the generator display any error messages and if so what were they? no.Did the device pass the pre-test? yes.Had the device been working and then stopped? yes.Did the patient experience any adverse consequences due to this issue? no.Did the electrode ceramic separate or break off? separate and break off.Did the i blade get damaged or break off? separate.Is the jaw damaged but not broken off? damaged.Is the top jaw loose but not detached? loose.Is the top jaw ptc material damaged? yes.Is the black ptc in the upper jaw detached? yes.Is the top jaw broken off the of the device? no.
 
Event Description
It was reported that during the procedure, the device broken during normal use.Use of another device to finish the procedure.No additional blood loss.
 
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Brand Name
ENSEAL G2 CURVED JAW 25CM
Type of Device
ELECTROSURGICAL CUTTING & COAGULATION & ACCESSORIES
Manufacturer (Section D)
ETHICON ENDO-SURGERY, LLC.
475 calle c
guaynabo 00969
*  00969
Manufacturer (Section G)
ETHICON ENDO-SURGERY, LLC.
475 calle c
guaynabo 00969
*   00969
Manufacturer Contact
kate karberg
475 calle c
guaynabo 
*  
3035526892
MDR Report Key16114380
MDR Text Key308534142
Report Number3005075853-2023-00136
Device Sequence Number1
Product Code GEI
UDI-Device Identifier10705036014133
UDI-Public10705036014133
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K112033
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional
Reporter Occupation Other
Type of Report Initial
Report Date 01/06/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberNSLG2C25
Device Catalogue NumberNSLG2C25
Device Lot NumberX9566T
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/09/2022
Initial Date Manufacturer Received 12/16/2022
Initial Date FDA Received01/06/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured06/23/2022
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
Treatment
GENERATOR
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