FORCE TRIAD

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-07-09 for FORCE TRIAD manufactured by Covidien.

Event Text Entries

[6429942] Pt in for robotics surgery. During case surgeon had complaints about monopolar not working properly. Connections were checked and bovie pad was resecured after finding that the connection point at the cord was lifted. No alarms on the machine had gone off. Monopolar cord was also replaced. After checking connections, cautery seem to work fine per surgeon. At the end of the case, the grounding pad was removed and an approximately one inch abrasion/burn was noted at the bovie pad edge opposite the connection point. Surgeon assessed site and applied silvadene cream to the site. Bovie and all pads, cords removed from service. Risk management contacted.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5044258
MDR Report Key4921968
Date Received2015-07-09
Date of Report2015-07-09
Date of Event2015-07-08
Date Added to Maude2015-07-20
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameFORCE TRIAD
Generic NameFORCE TRIAD
Product CodeODA
Date Received2015-07-09
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
10 2015-07-09

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