LIGACLIP*ENDO LARGE APPLIER EL414

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-10 for LIGACLIP*ENDO LARGE APPLIER EL414 manufactured by Ethicon Endo-surgery, Llc..

Event Text Entries

[144834066] (b)(4). Device analysis: the analysis results confirmed that the el414 device was returned nonfunctional as jaws were found to be in a yielded condition; therefore, the clips could not be loaded into the jaws. Possible causes for this condition may be if the device is closed over an existing hard object or clip placing stress on the jaws causing them to distort or yield and not return to their original dimensions/position or excessive application of torque to the jaws when positioning the device on a vessel. Please note that as stated in the ifu: "all surgical instruments are subject to a degree of wear and tear because of normal use. A regular and precise visual check of the instrument should be made before each use. The batch history records were reviewed and certed by external manufacturing that the manufacturing criteria was met prior to the release of the equipment.? The certificate records are accessible through external manufacturing.?
Patient Sequence No: 1, Text Type: N, H10


[144834067] It was reported that during a tlh procedure, product was not working. Not able to hold clip in jaws.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005075853-2019-18978
MDR Report Key8600239
Date Received2019-05-10
Date of Report2019-02-19
Date of Event2019-02-18
Date Mfgr Received2019-04-23
Device Manufacturer Date2004-04-30
Date Added to Maude2019-05-10
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 ContactMILTON GARRETT
Manufacturer Street475 CALLE C
Manufacturer CityGUAYNABO 00969
Manufacturer Postal00969
Manufacturer Phone5133378865
Manufacturer G1ETHICON ENDO-SURGERY, LLC.
Manufacturer Street475 CALLE C
Manufacturer CityGUAYNABO 00969
Manufacturer Postal Code00969
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameLIGACLIP*ENDO LARGE APPLIER
Generic NameAPPLIER, HEMOSTATIC CLIP
Product CodeHBT
Date Received2019-05-10
Returned To Mfg2019-04-23
Catalog NumberEL414
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerETHICON ENDO-SURGERY, LLC.
Manufacturer Address475 CALLE C GUAYNABO 00969 00969


Patients

Patient NumberTreatmentOutcomeDate
10 2019-05-10

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