MAUDE Adverse Event Report: Integra LifeSciences (Ireland) Ltd. CUSA EXCEL + ULTRASONIC TISSUE ALBATION SYSTEM; Tissue Ablation

Catalog Number	CUSAEXCEL2
Medical Device Problem Code	Inability to Irrigate (1337)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event	Malfunction

• Brand Name: CUSA EXCEL + ULTRASONIC TISSUE ALBATION SYSTEM
• Common Device Name: Tissue Ablation
• Manufacturer (Section D): Integra LifeSciences (Ireland) Ltd.; sragh tullamore, co. offaly ; EI
• Manufacturer (Section G): Integra LifeSciences (Ireland) Ltd.; sragh tullamore, co. offaly ; EI
• Manufacturer Contact: vivian nelson ; 1100 campus drive; princeton, NJ 08540 ; +1(609)936-2319
• MDR Report Key: 50161277
• Report Number: 3006697299-2026-00065
• Device Sequence Number: 13405982
• Product Code: LFL
• UDI-Device Identifier: 10381780039259
• UDI-Public: 10381780039259
• Combination Product (Y/N): N
• Initial Reporter Country: US
• PMA/510(K) Number: 510K exempt
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Company Representative,Distributor
• Type of Report: Initial,Followup
• Report Date (Section B): 10/02/2026

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 Catalogue Number: CUSAEXCEL2
• Date Returned to Manufacturer: 07/14/2026
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 07/15/2026
• Supplement Date Received by Manufacturer: 09/16/2026
• Initial Report FDA Received Date: 08/06/2026
• Supplement Report FDA Received Date: 10/02/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 04/30/2021
• 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
• Patient Sequence Number: 1
• Patient Sex: Unknown