SIGNIA SIGPHANDLE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2020-03-31 for SIGNIA SIGPHANDLE manufactured by Covidien Lp Llc North Haven.

Event Text Entries

[185802402] Evaluation summary: post market vigilance (pmv) led an evaluation of one device. An analysis of the system logs noted that towards the end of the logs, the handle was placed on a charger. The next time the handle initializes is with low voltage detected on the charger, a low relative state of charge value, and low individual cell voltages. The handle was opened up and both batteries were found to be vented. The battery was replaced with a known working one and the handle powered on. After the handle turned on, it was noted that the screen was dim. A clamshell was attached to the device and held out at an arms length. The handle was then tilted upwards at a thirty degree angle. The screen was not very visible when held in this manner. The logs were evaluated and there were no abrupt or sudden ends to logs with no restart command, indicating that the cause of dim screen was not due to an esd event or an abrupt shutdown of the power handle. A review of the device history record indicates this product was released meeting all quality release specifications at the time of manufacture. The root cause of the device not charging was determined to be a result of a software fault. The battery cells vented, causing them to leak electrolytic fluid. The battery cells would be unable to charge under these circumstances and would result in the handle entering a cell under voltage state. Improvements have been initiated to mitigate this condition. The root cause of the dim display was determined to be a result of a component failure. However, the cause of this specific failure could not be reliably determined. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[185802403] According to the reporter, prior an esophagectomy procedure, the display of the reported handle was noted to be darker when compared with the other. It was stated that sales representative removed the reported handle from the charger, the charger illuminated green but the display was in a status of being charged less than a half. As the situation was not improved even if trying for several times, the event was reported. There was no patient involvement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1219930-2020-01456
MDR Report Key9905378
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2020-03-31
Date of Report2020-03-31
Date of Event2019-10-28
Date Mfgr Received2020-03-12
Device Manufacturer Date2018-01-02
Date Added to Maude2020-03-31
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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 FDA3
Event Location3
Manufacturer ContactLISA HERNANDEZ
Manufacturer Street60 MIDDLETOWN AVE.
Manufacturer CityNORTH HAVEN CT 06473
Manufacturer CountryUS
Manufacturer Postal06473
Manufacturer Phone2034925563
Manufacturer G1COVIDIEN LP LLC NORTH HAVEN
Manufacturer Street195 MCDERMOTT RD
Manufacturer CityNORTH HAVEN CT 06473
Manufacturer CountryUS
Manufacturer Postal Code06473
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSIGNIA
Generic NameSTAPLE, IMPLANTABLE
Product CodeGDW
Date Received2020-03-31
Returned To Mfg2019-11-13
Model NumberSIGPHANDLE
Catalog NumberSIGPHANDLE
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN LP LLC NORTH HAVEN
Manufacturer Address195 MCDERMOTT RD NORTH HAVEN CT 06473 US 06473


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-31

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