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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON ENDO-SURGERY, LLC. ENSEAL G2 ART STRA SEALER 35CM; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES

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ETHICON ENDO-SURGERY, LLC. ENSEAL G2 ART STRA SEALER 35CM; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES Back to Search Results
Catalog Number NSLG2S35A
Device Problems Detachment of Device or Device Component (2907); Material Integrity Problem (2978)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/21/2023
Event Type  malfunction  
Event Description
It was reported that during a gyn procedure the tip broke off.New device was used to complete.No fragments made.No patient harm.
 
Manufacturer Narrative
(b)(4).Date sent: 9/7/2023.D4 batch #: x95k7g.Investigation summary the product was returned for evaluation.Visual inspection was conducted on the returned device.Visual analysis of the returned sample revealed that the device was returned with the upper jaw detached and it was returned.Additionally, it was received with the top of the i-blade fractured and lifted.The device was received with the skiving of the heat shrink (shaft cover) material.All of the heat shrink material appeared to have been returned.The device was connected to the generator and it was recognized.Because the jaw was detached not all functional testing could be performed with the generator.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.Please reference the instruction for use for more information.The ifu warns "prior to inserting or removing the device from the trocar, ensure that the device is in the straight, non-articulated position by confirming that the indicator arrow on the articulation wheel is aligned with the top of the instrument." the ifu also warns the user to discontinue use if black heat shrink covering is damaged.As part of the quality process, all devices are manufactured, inspected, and released to approved specifications.A manufacturing record evaluation was performed for the finished device batch x95k7g, and no non-conformances were identified.
 
Manufacturer Narrative
(b)(4).Date sent: 10/2/2023.Additional information was obtained: user facility medwatch mw5145055 attached to file h6: medical device problem code.
 
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Brand Name
ENSEAL G2 ART STRA SEALER 35CM
Type of Device
ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES
Manufacturer (Section D)
ETHICON ENDO-SURGERY, LLC.
475 calle c
guaynabo 00969
Manufacturer (Section G)
ETHICON ENDO-SURGERY, LLC.
475 calle c
guaynabo 00969
Manufacturer Contact
kate karberg
475 calle c
guaynabo 
3035526892
MDR Report Key17701488
MDR Text Key322874003
Report Number3005075853-2023-06449
Device Sequence Number1
Product Code GEI
UDI-Device Identifier10705036014515
UDI-Public10705036014515
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K122797
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 09/07/2023
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 Catalogue NumberNSLG2S35A
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/16/2023
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 08/22/2023
Initial Date FDA Received09/07/2023
Supplement Dates Manufacturer Received09/13/2023
Supplement Dates FDA Received10/02/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured08/18/2022
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
Treatment
GENERATOR
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