inforMED
MalfunctionJOS

EDGE INSLTD BLADE W/SLV 2.75

Received Jul 14, 2015

Report 1717344-2015-00503 · MDR key 4912203

Device

Generic name

Es Accessory

Manufacturer

Covidien Lp

Model number

E1455B

Catalog number

E1455B

Product problems

  • Component Falling

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE CUSTOMER REPORTED THAT DURING A VATS PROCEDURE, THE ELECTRODE FELL OUT OF THE PENCIL. IT WAS RETRIEVED FROM THE SURGICAL SITE WITHOUT INJURY TO THE PATIENT. THE DEVICE WAS DISCARDED.

Additional Manufacturer Narrative

(B)(4). THE INCIDENT DEVICE WAS DISCARDED BY THE SITE. IF ADDITIONAL INFORMATION PERTINENT TO THE INCIDENT IS OBTAINED, A FOLLOW-UP REPORT WILL BE SUBMITTED.