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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: COVIDIEN EDGE; ELECTROSURGICAL, CUTTING & COAGULATION & ACCES

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COVIDIEN EDGE; ELECTROSURGICAL, CUTTING & COAGULATION & ACCES Back to Search Results
Model Number E1455
Medical Device Problem Codes Peeled/Delaminated (1454); Detachment of Device or Device Component (2907)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/19/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during breast revision surgery with the use of the device, the clear innermost sheath detached from the electrode while being wiped.The detachment was immediately recognized by the surgeon, preventing the potential for a retained surgical item.Nothing fell on patient's cavity, as the broken piece was found on the surgical drapes.No additional intervention required.There was no patient injury.
 
Additional Manufacturer Narrative
Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
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Brand Name
EDGE
Common Device Name
ELECTROSURGICAL, CUTTING & COAGULATION & ACCES
Manufacturer (Section D)
COVIDIEN
boulevard insurgentes 19030
tijuana,mx
Manufacturer (Section G)
COVIDIEN
boulevard insurgentes 19030
tijuana,mx
Manufacturer Contact
mike bocchino
8200 coral sea st ne
mounds view, MN 55112-4391
8006464633
MDR Report Key24597683
Report Number9610849-2026-00063
Device Sequence Number13163253
Product Code GEI
UDI-Device Identifier10884521713178
UDI-Public(01)10884521713178(17)300531(10)251670275R(20)01
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K955836
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative,Distributor
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 03/13/2026
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 Model NumberE1455
Device Catalogue NumberE1455
Device Lot Number251670275R
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/23/2026
Initial Report FDA Received Date03/13/2026
Date Device Manufactured06/16/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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