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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: COVIDIEN LIGASURE IMPACT; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES

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COVIDIEN LIGASURE IMPACT; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES Back to Search Results
Model Number LF4418
Medical Device Problem Codes Energy Output Problem (1431); Failure to Cut (2587); Failure to Fire (2610)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/25/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
D10.Concomitant product: lf4418, open sealer lf4418 curved large jaw (lot#52060094x); lf4418, open sealer lf4418 curved large jaw (lot#52060094x).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.
 
Event or Problem Description
It was reported that during a procedure involving the use of three devices, the devices did not cut and no seal was achieved.There was no evidence of energy delivery, and no end tones were heard.The devices were plugged into a generator at the time of the event, and another device was used successfully with the same generator.There was no patient injury.
 
Additional Manufacturer Narrative
Additional information: a1, b5, g3, h6 additional information received shows that there is no information to reasonably suggest that the device in this report may have caused or contributed to a death or serious injury or that the device in this report has malfunctioned.Therefore, this event does not meet the reporting requirements in 21 cfr 803.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.
 
Event or Problem Description
It was reported that prior to use, three devices could not cut at all and there was no seal, with no evidence of energy delivery and end tones heard.The devices were plugged into a generator at the time of the event, and another device was used successfully with the same generator.There was no patient involvement.
 
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Brand Name
LIGASURE IMPACT
Common Device Name
ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES
Manufacturer (Section D)
COVIDIEN
6044 longbow court
boulder CO 80301 3299
Manufacturer (Section G)
COVIDIEN
6044 longbow court
boulder CO 80301 3299
Manufacturer Contact
mike bocchino
8200 coral sea st ne
mounds view, MN 55112-4391
8006464633
MDR Report Key24608098
Report Number1717344-2026-00387
Device Sequence Number9841762
Product Code GEI
UDI-Device Identifier10884521612525
UDI-Public(01)10884521612525(17)300724(10)52060094X
Combination Product (Y/N)N
Initial Reporter CountryTU
PMA/510(K) Number
K162047
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
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 06/29/2026
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 NumberLF4418
Device Catalogue NumberLF4418
Device Lot Number52060094X
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 03/02/2026
Supplement Date Received by Manufacturer06/24/2026
Initial Report FDA Received Date03/16/2026
Supplement Report FDA Received Date06/29/2026
Date Device Manufactured07/25/2025
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
Concomitant Medical Products
and Therapy/Usage Dates
PLEASE SEE NOTE ON H11.
Patient SexFemale
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