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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Ethicon Endo-Surgery, LLC. Enseal; Electrosurgical, cutting & coagulation & accessories

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Ethicon Endo-Surgery, LLC. Enseal; Electrosurgical, cutting & coagulation & accessories Back to Search Results
Catalog Number NSLG2S35A
Medical Device Problem Codes Material Integrity Problem (2978); Appropriate Device Problem Term/Code Not Available (3191)
Health Effect - Clinical Codes Foreign Body In Patient (2687); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/10/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that some of the black insulating material on the shaft of the instrument came off inside the patient during a laparoscopic anterior resection.The surgeon was unable to retrieve the piece of insulation.He does not anticipate that this will cause any issues for the patient.
 
Additional Manufacturer Narrative
(b)(4).Date sent: 9/28/2026.D4 batch #: unknown.Additional information was obtained: was there any reported patient or user harm? no.Was there a significant delay? no.Attempts have been made to retrieve the device.To date the device has not been returned.If the device or further details are received at a later date a supplemental medwatch will be sent.This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by ethicon, or its employees that the report constitutes an admission that the product, ethicon, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
 
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Brand Name
Enseal
Common Device Name
Electrosurgical, cutting & coagulation & accessories
Manufacturer (Section D)
Ethicon Endo-Surgery, LLC.
475 calle c
guaynabo 00969
PR  00969
Manufacturer (Section G)
Ethicon Endo-Surgery, LLC.
475 calle c
guaynabo 00969
PR   00969
Manufacturer Contact
orla o'mahony
475 calle c
guaynabo 
PR  
+1(303)552-6892
MDR Report Key50916529
Report Number3005075853-2026-08028
Device Sequence Number14788535
Product Code GEI
UDI-Device Identifier10705036014515
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
K122797
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Type of Report Initial
Report Date (Section B) 09/28/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue NumberNSLG2S35A
Device Lot NumberA99D1N
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer 09/09/2026
Initial Report FDA Received Date09/28/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/06/2026
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
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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