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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON ENDO-SURGERY, LLC. ENSEAL X1 LARGE JAW TISSUE SEALER; ELECTROSURGICAL CUTTING & COAGULATION & ACCESSORIES

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ETHICON ENDO-SURGERY, LLC. ENSEAL X1 LARGE JAW TISSUE SEALER; ELECTROSURGICAL CUTTING & COAGULATION & ACCESSORIES Back to Search Results
Model Number NSLX120L
Device Problems Activation, Positioning or Separation Problem (2906); Appropriate Term/Code Not Available (3191)
Patient Problem Hemorrhage/Bleeding (1888)
Event Date 07/07/2022
Event Type  Injury  
Manufacturer Narrative
(b)(4).Batch #: u95j6e.Additional information was requested and the following was obtained: rep reported when they were resecting the small bowel even though it was hemostatic the tissue layers were not fused together.Could still see edges.It was multiple mesentery vessels.It was after they removed the colon layers of the mesentery were oozing so he used sutures and ties to correct.Unknown anticoagulation pre op for patient but they had received blood a few days prior to the procedure.Unknown if patient had any disorder or level of blood loss.It was blood loss from colon mesentery.First time using for surgeon.There were no alert screens.Patient status is unknown.Investigation summary: the product was returned to ethicon endo surgery for evaluation.Visual inspection and functional testing were conducted on the returned device.Visual analysis of the returned sample revealed that the nslx120l device was received with no apparent damage.The device was tested on the generator and passed all functional testing.The energy output delivered from the device was verified.All tones were heard during functional testing.The device was tested with the test media and no anomalies were found.There were no anomalies noted with the functionality of the device.As part of ethicon endo surgery¿s quality process all devices are manufactured, inspected, and released to approved specifications.Although no conclusion could be reach on the cause of the reported event.The event described could not be confirmed as the device performed without any difficulties noted.Although no product defect was identified, there may have been other circumstances or issues that occurred during the use of the device that could not be replicated during the laboratory analysis.A manufacturing record evaluation was performed for the finished device batch number, and no non-conformances were identified.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
 
Event Description
It was reported that during a colectomy the device was not very hemostatic and wasn't fusing tissue as it should.The patient received blood as it was six plus hours long.They completed the case with the device and no patient consequences.
 
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Brand Name
ENSEAL X1 LARGE JAW TISSUE SEALER
Type of Device
ELECTROSURGICAL CUTTING & COAGULATION & ACCESSORIES
Manufacturer (Section D)
ETHICON ENDO-SURGERY, LLC.
475 calle c
guaynabo 00969
*  00969
Manufacturer (Section G)
JABIL (TAJUANA)
Manufacturer Contact
orla o'mahony
475 calle c
guaynabo 
*  
329348013
MDR Report Key15117450
MDR Text Key296755053
Report Number3005075853-2022-04937
Device Sequence Number1
Product Code GEI
UDI-Device Identifier10705036015024
UDI-Public10705036015024
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K172580
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other
Type of Report Initial
Report Date 07/27/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/27/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date09/30/2022
Device Model NumberNSLX120L
Device Catalogue NumberNSLX120L
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/25/2022
Date Manufacturer Received07/08/2022
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured10/23/2020
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
Treatment
GENERATOR
Patient Outcome(s) Required Intervention;
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