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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: INTEGRA LIFESCIENCES(IRELAND) CUSA EXCEL 36KHZ CURVED EXTENDED PRECISIONTIP; ULTRASONIC SURGICAL PRODUCTS

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INTEGRA LIFESCIENCES(IRELAND) CUSA EXCEL 36KHZ CURVED EXTENDED PRECISIONTIP; ULTRASONIC SURGICAL PRODUCTS Back to Search Results
Catalog Number C4608S
Medical Device Problem Code Overheating of Device (1437)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
A facility reported that the tip of the silicon tubing of the cusa excel 36khz curved extended precisiontip (c4608s) melted/burnt preoperatively.No user injury was reported.Additional information has been requested.
 
Additional Manufacturer Narrative
An investigation has been initiated based on the reported information.Upon completion of the investigation, a follow-up report will be submitted.
 
Additional Manufacturer Narrative
Updated fields: d4, d9, g3, g6, h2, h3, h4, h6, h11.The cusa excel 36khz curved extended precisiontip (c4608s) was not returned and no pictures were provided of the alleged "melted/burnt flue." lot number information has been provided; therefore, device history record (dhr) was reviewed, and no anomalies were found.A definitive root cause determination for this alleged issue is not possible, as the product has not returned for evaluation, pictures have not been provided, and there is limited information available.However, based on the complaint as reported, and the fact that there have been no other complaints reported for this finished goods tip lot or for this tip component lot, a possible root cause could be use error, causing the tip to overheat and melt the flue.If additional relevant information becomes available in the future, this complaint will be reopened, and the respective evaluation performed.Trends will be monitored for this and similar issues.At present, we consider this complaint to be closed.
 
Event or Problem Description
N/a.
 
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Brand Name
CUSA EXCEL 36KHZ CURVED EXTENDED PRECISIONTIP
Common Device Name
ULTRASONIC SURGICAL PRODUCTS
Manufacturer (Section D)
INTEGRA LIFESCIENCES(IRELAND)
ida business&technology park
ida business&technology park
sragh, tullamore, co.offaly
EI 
Manufacturer (Section G)
INTEGRA LIFESCIENCES(IRELAND)
ida business&technology park
sragh, tullamore, co.offaly
EI  
Manufacturer Contact
vivian nelson
1100 campus drive
princeton, NJ 08540
6099362319
MDR Report Key22052277
Report Number3006697299-2025-00057
Device Sequence Number9095581
Product Code LFL
UDI-Device Identifier10381780025993
UDI-Public10381780025993
Combination Product (Y/N)N
PMA/510(K) Number
K141674
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Distributor
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 07/14/2025
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 Expiration Date07/31/2026
Device Catalogue NumberC4608S
Device Lot Number7275687
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/24/2025
Supplement Date Received by Manufacturer06/18/2025
Initial Report FDA Received Date05/20/2025
Supplement Report FDA Received Date07/14/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/04/2023
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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