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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
Medical Device Problem Codes Failure to Read Input Signal (1581); Material Integrity Problem (2978)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/23/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).Date sent: 8/23/2024.D4 batch #: a9dc8g.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 device was returned with the upper jaw detached and not returned and the cable cut off.In addition, the top of the i-blade was fractured and lifted.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.Due to the condition of the device returned we were unable to investigate further the alert screen reported.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: 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 a9dc8g, and no non-conformances were identified.A manufacturing record evaluation was performed for the finished device lot number, and no non-conformance were identified.
 
Event or Problem Description
It was reported that during a hemicolectomy the tip is weak and the generator throws an error when the energy is checked.It is noted that the tip is fractured.Another type of energy is requested and the case is terminated, if there is no risk to the patient.There were no patient consequences.
 
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Brand Name
ENSEAL G2 ART STRA SEALER 35CM
Common Device Name
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 Key20049694
Report Number3005075853-2024-06249
Device Sequence Number7955752
Product Code GEI
UDI-Device Identifier10705036014515
UDI-Public(01)10705036014515(17)280531(10)A9DN79
Combination Product (Y/N)N
Initial Reporter CountryCO
PMA/510(K) Number
K122797
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 08/23/2024
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
Operator of Device Health Professional
Device Catalogue NumberNSLG2S35A
Device Lot NumberA9DN79
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/07/2024
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 08/07/2024
Initial Report FDA Received Date08/23/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/29/2023
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Unknown
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
GENERATOR.
Patient SexUnknown
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