Approximately mid case, when the surgeon switched to the right breast, the handpiece shaft was difficult to retract.The shaft had to be forced down, even after twisting the lock.There was not much tissue visible.Then the device was weak on cut and coag.Increasing the settings from 5/5 to 6/6 and then 7 /7 resolved the weak issue.The smoke evac then became weak.Staff changed ports on the stryker neptune 2 tower and flushed the hand piece tube with saline without resolution.Staff used hand held suction to complete the case.(b)(4).This report reflects information received by fda in the form of a notification per 803.22 (b)(2).
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