Reported Reactions

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FDA product code LFL · class U · Unknown

Instrument, ultrasonic surgical: medical device reports filed with FDA

68,457 reports carry this product code, 1995–2026; 30 brands with a page.

68,457
reports with this product code
0.3% of all MAUDE reports
3,979
reports, 12 months to August 2026
4,009 in the 12 months before
94.9%
classified as malfunction
62.3% across all reports
0.1%
classified as death, as reported
0.9% across all reports

Product code LFL is FDA's classification for "Instrument, ultrasonic surgical" (unknown panel), a class U device. 68,457 medical device reports carry this product code, 0.3% of the MAUDE database, from August 1995 to August 2026.

3,979 reports arrived in the 12 months to August 2026, close to the 4,009 of the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (94.9%), injury (4.5%) and death (0.1%). 30 brand names with a page on this site carry this code; the brands table is ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Brands with this product code

BrandReportsLatest 12 monthsClassified as deathClassified as malfunction
Ultracision Harmonic Ace9,35600%98.5%
Harmonic Ace Plus 7 Adv Hemostasis 366,8315370%99.3%
Harmonic Hd 1000i Shears 36cm Shaft5,0331960%99.3%
Harmonic Lap 5mm Shear 36cm2,720880%98.5%
Harmonic Ace 36 Cm2,59700.1%98.1%
Harmonic Ace 36cm W Erg Handle2,34100%97.7%
Sonicision1,8061390.2%89.2%
Harmonic Scalpel Ultracision Hand Piece1,67700.1%98.2%
SONICBEAT 5 mm, 35 cm, Front-actuated Grip1,6383730%96.5%
Harmonic ACE1,5746800.1%97.1%
Harmonic 1100 Shears 36cm1,4342030.1%97.6%
Ultracision Harmonic Scalpel Hand Piece1,42800%98.3%
Harmonic Scalpel Hand Piece1,357230%99.2%
Ultracision Surg Dev Curved Shears Endo1,17600%98%
Harmonic Scalpel Ultracision Laparosonic Coagulating She1,06500.1%96.7%
Harmonic Ace + 795700.2%94.8%
Harmonic Ace Adaptive Tissue Technology92500.2%95.1%
Harmonic9177960%94.4%
Harmonic Ace Plus 7 W Adv Hemostasis85800.3%97.9%
Harmonic Ace Plus 7 Adv Hemostasis 23857800%99.3%
Ultracision Surgery Reusable Devices Handpiece 54 5570800%98%
Harmonic Hd 1000i Shears 20cm Shaft603320.2%98.7%
Harmonic Hd500 Shears 36cm503510%99.8%
Autosonix Ultra Shears 5mm Instrument46600%85.7%
Ultracision Harmonic Scalpel Curved Shears Lcs43000.2%91.4%
Harmonic 1100 Shears 20cm425670%97.9%
Harmonic Focus Curved Shears Torque Wrench And Grip Assist40300%88.6%
Harmonic Ace 5mm Shear39484.6%6.9%
Sonosurg Scissors 5 Mm O D Hf Series38500%92.2%
Ultrasonic Dissector38500.2%92%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Manufacturers named

Manufacturer (as written on reports)ReportsShare
Ethicon Endo-Surgery45,50166.5%
Ethicon Endo-Surgery Cincinnati4,0776%
Ethicon Endo Surgery Cincinnati3,9255.7%
Ethicon Endo-Surgery - Alb1,7212.5%
Olympus Medical Systems1,7152.5%
Covidien Mfg Dc Boulder1,5582.3%
Integra Lifesciences Ireland1,1631.7%
Aomori Olympus1,0041.5%
Ethicon Endo Surgery5780.8%
Covidien4980.7%
North Haven - Uss4150.6%
United States Surgical3980.6%
Johnson & Johnson Medical Suzhou3910.6%
Stryker Instruments-A Division Of Stryker2260.3%
Covidien Formerly US Surgical1040.2%

Reports by month, five years

0274548Sep 2021: 253Oct 2021: 317Nov 2021: 291Dec 2021: 3702022Jan 2022: 214Feb 2022: 232Mar 2022: 308Apr 2022: 248May 2022: 235Jun 2022: 228Jul 2022: 261Aug 2022: 287Sep 2022: 329Oct 2022: 350Nov 2022: 364Dec 2022: 3662023Jan 2023: 385Feb 2023: 242Mar 2023: 317Apr 2023: 373May 2023: 283Jun 2023: 320Jul 2023: 376Aug 2023: 405Sep 2023: 316Oct 2023: 451Nov 2023: 317Dec 2023: 4302024Jan 2024: 425Feb 2024: 318Mar 2024: 294Apr 2024: 301May 2024: 306Jun 2024: 368Jul 2024: 297Aug 2024: 381Sep 2024: 352Oct 2024: 338Nov 2024: 269Dec 2024: 3682025Jan 2025: 365Feb 2025: 293Mar 2025: 263Apr 2025: 301May 2025: 341Jun 2025: 256Jul 2025: 548Aug 2025: 315Sep 2025: 333Oct 2025: 319Nov 2025: 243Dec 2025: 3302026Jan 2026: 362Feb 2026: 312Mar 2026: 260Apr 2026: 315May 2026: 300Jun 2026: 421Jul 2026: 380Aug 2026: 404

FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

Event type and report source

Event type

Death0.1%81
Injury4.5%3,079
Malfunction94.9%64,972
Other0.1%64
Not given0.4%261

Who filed

Manufacturer report96.8%66,263
Voluntary report1.2%797
User facility report0%0
Distributor report0%19
Not given2%1,378

Grey bar: all 26,136,888 MAUDE reports.

Device problems coded

Device problem (FDA code)ReportsShare
Breakthe device broke14,00720.5%
Replace9,07313.3%
Material separation7,49911%
Device displays incorrect message7,35810.7%
Failure to read input signal5,6318.2%
Detachment of device component4,7396.9%
Detachment of device or device componentpart of the device came off4,6296.8%
Device issuea problem with the device2,7043.9%
Component falling2,6983.9%
Device inoperablethe device could not be used2,1263.1%
Device operates differently than expectedthe device behaved unexpectedly1,8242.7%
Difficult or delayed activation1,6912.5%
Sticking1,6592.4%
Noise1,3722%
Component(s), broken1,1401.7%
Material integrity problema problem with the device material1,0721.6%
Melted9611.4%
Overheating of device8291.2%
Tip breakage8291.2%
Insufficient device problem information7941.2%

Questions about instrument, ultrasonic surgical reports

What is product code LFL?

FDA's classification code for "Instrument, ultrasonic surgical", class U, reviewed by the unknown panel. Every device report carries the product code of the device involved.

How many reports carry this code?

68,457 reports through August 2026, 3,979 of them in the latest 12 months.

Which brands appear most often?

Ultracision Harmonic Ace (9,356), Harmonic Ace Plus 7 Adv Hemostasis 36 (6,831), Harmonic Hd 1000i Shears 36cm Shaft (5,033), Harmonic Lap 5mm Shear 36cm (2,720) and Harmonic Ace 36 Cm (2,597). Widely used products collect more reports because more people use them.

Can the brands table be used to rank the devices?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." Brands differ in how many are in use, how long they have been sold and how reports are collected.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.