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Adverse Event Report

ETHICON ETHICON HARMONIC SCALPEL   back to search results
Catalog Number LCSC5
Event Description

Harmonic scalpel shears broke while inside pt. All pieces removed.

 
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Brand NameETHICON
Type of DeviceHARMONIC SCALPEL
Baseline Brand NameULTRACISION HARMONIC SCALPEL CURVED SHEARS WITH PISTOL GRIP
Baseline Generic NameULTRASONIC ACCESSORIES
Baseline Catalogue NumberLCSC5
Baseline Device FamilyULTRACISION SURGICAL DEVICES, CURVED SHEARS, ENDO
Baseline Device 510(K) NumberK002981
Baseline Device PMA Number
Baseline Shelf Life Information Yes
Baseline Preamendment? No
Transitional? No
510(K) Exempt? No
Shelf Life(Months)60
Date First Marketed06/08/1993
Manufacturer (Section D)
ETHICON
4545 creek rd
cincinnatti OH 45242 2839
Device Event Key517880
MDR Report Key528688
Event Key501873
Report NumberMW1032227
Device Sequence Number1
Product CodeLFL
Report Source Voluntary
Report Date 05/26/2004
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received05/26/2004
Is This An Adverse Event Report? No
Device Operator Health Professional
Device Catalogue NumberLCSC5
Device LOT NumberU40643
Was Device Available For Evaluation? Device Returned To Manufacturer
Is the Device an Implant? No
Is this an Explanted Device? No Answer Provided

Database last updated on December 31, 2008

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