COVIDIEN LF4418C

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-11 for COVIDIEN LF4418C manufactured by Medline Renewal.

Event Text Entries

[139076409] It was reported that a thin metal spring was found inside the patient during a liver retraction procedure. The reporting facility was unsure if the spring came from the reprocessed device (ligasure impact, sealer/divider nano-coated, compatible with ft10 generator 18cm) or if the spring was left in the patient from a procedure years prior. The spring was reportedly successfully retrieved from the patient through an unidentified method. Due to the reported incident and in an abundance of caution, this medwatch is being filed. The device was returned for evaluation and this device had been reprocessed by medline renewal. The device was inspected and no damage was found. Lf4418c devices do not have small springs matching the one found in the patient. The source of the spring could not be confirmed. No additional information is available. If additional information becomes available, a supplemental medwatch will be filed.
Patient Sequence No: 1, Text Type: N, H10


[139076410] It was reported that a thin metal spring was found inside the patient during a liver retraction procedure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3032391-2019-00001
MDR Report Key8409882
Date Received2019-03-11
Date of Report2019-03-11
Date of Event2019-02-12
Date Mfgr Received2019-02-13
Date Added to Maude2019-03-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactSTEPHEN WILSON
Manufacturer Street1500 NE HEMLOCK AVE
Manufacturer CityREDMOND OR 97756
Manufacturer CountryUS
Manufacturer Postal97756
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCOVIDIEN
Generic NameLIGASURE IMPACT, SEALER/DIVIDER NANO-COATED, COMPATIBLE WITH FT10 GENERATOR 18CM
Product CodeNUJ
Date Received2019-03-11
Returned To Mfg2019-02-27
Catalog NumberLF4418C
Lot Number390958
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE RENEWAL
Manufacturer Address1500 NE HEMLOCK AVE REDMOND OR 97756 US 97756


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-03-11

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