VALLEYLAB E0510

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-09-22 for VALLEYLAB E0510 manufactured by Medtronic/covidien/valleylab.

Event Text Entries

[87038606] On (b)(6) 2017 during an uneventful laparoscopic cholecystectomy in the main operating room, a flame was noted while using a covidien valleylab laparoscopic single-use/disposable monopolar cautery cord ((b)(4)). The flame occurred near the junction where the cord connects to the cautery instrument. The resident surgeon's glove was burned and he sustained a first degree burn to the hand. The pt was not harmed. The equipment was immediately sequestered and surgery was completed without further incident. We are aware of at least one other medical center that has had overheating issues with this cautery cord. We have now discontinued the use of this cord and have switched to a different cord from a different mfr.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5072309
MDR Report Key6886534
Date Received2017-09-22
Date of Report2017-09-21
Date of Event2017-08-29
Date Added to Maude2017-09-22
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVALLEYLAB
Generic NameUNIT, ELECTROSURGICAL AND COAGULATION, WITH ACCESSORIES
Product CodeBWA
Date Received2017-09-22
Model NumberE0510
Catalog NumberE0510
Lot Number1610005X
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC/COVIDIEN/VALLEYLAB
Manufacturer AddressMINNEAPOLIS MN 55432 US 55432


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-09-22

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