MAUDE Adverse Event Report: COVIDIEN LP LIGASURE ADVANCE PISTOL GRIP; LIGASURE VESSEL SEALING SYS

Catalog Number LF5544

Device Problems Cut In Material (2454); Material Protrusion/Extrusion (2979)

Patient Problem No Known Impact Or Consequence To Patient (2692)

Event Date 07/17/2013

Event Type  malfunction  

Event Description

The customer reported that device did not cut during a total hysterectomy with bilateral adnexectomy.A new device was used to continue the procedure and there was no injury to the pt.The device was returned to covidien and visual inspection discovered that the webbing was protruding from the hinge.

Manufacturer Narrative

(b)(4).The incident device has been received and is under evaluation.When the device evaluation is complete a follow-up report will be submitted.

Manufacturer Narrative

(b)(4).The knife did not advance when the trigger was activated and it was found that the knife was hitting the back of the blue jaw seal plate.This can happen when the user places excessive tension on the jaws, forcing them out of alignment.The ifu cautions the user to not turn the rotation wheel when the handle is fully closed and latched.Product damage may occur.Do not apply force to the shaft of the instrument causing tension or bowing as this could make the knife difficult to deploy and the trigger may not return to its normal position.When the knife contacted the back of the seal plate, the trigger was forced and this caused the webbing to protrude.The webbing was both sharp and not sharp.The ifu states to gently pull the cutting trigger to engage the cutting mechanism.

• Brand Name: LIGASURE ADVANCE PISTOL GRIP
• Type of Device: LIGASURE VESSEL SEALING SYS
• Manufacturer (Section D): COVIDIEN LP; 5920 longbow dr.; boulder CO 80301
• Manufacturer Contact: sharon murphy ; 5920 longbow dr.; boulder, CO 80301 ; 2034925267
• MDR Report Key: 4092577
• MDR Text Key: 4831685
• Report Number: 1717344-2014-00802
• Device Sequence Number: 1
• Product Code: GEI
• Combination Product (y/n): N
• Reporter Country Code: BR
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Foreign,User Facility
• Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date: 09/08/2014

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 09/08/2014
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Expiration Date: 01/31/2018
• Device Catalogue Number: LF5544
• Device Lot Number: 248565X
• Was Device Available for Evaluation?: Yes
• Date Returned to Manufacturer: 09/05/2014
• Is the Reporter a Health Professional?: No
• Date Manufacturer Received: 09/29/2014
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1