inforMED
MalfunctionOCZ

RAPTOR GRASPING DEVICE

Received May 29, 2020 · Event occurred Apr 24, 2020

Report 1528319-2020-00014 · MDR key 10101283

Device

Generic name

Grasping Device

Model number

00711177

Catalog number

00711177

Lot number

1914823

Product problems

  • Break

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

THE DEVICE SUBJECT OF THIS EVENT WAS NOT RETAINED BY THE USER FACILITY FOR EVALUATION. WITHOUT A RETURNED DEVICE, THE CAUSE OF THE PROBLEM COULD NOT BE DETERMINED. THE DEVICE HISTORY RECORD WAS REVIEWED AND CONFIRMED THE DEVICE WAS MANUFACTURED TO SPECIFICATION. THERE HAVE BEEN NO OTHER COMPLAINTS ASSOCIATED WITH THIS LOT. THE INSTRUCTIONS FOR USE INCLUDE THE FOLLOWING STATEMENTS: "EXCESSIVE FORCE OR COILING MAY DAMAGE THE DEVICE OR DAMAGE THE ENDOSCOPE AND MAY RESULT IN ACCIDENTAL INJURY TO THE PATIENT OR CLINICIAN. THE FOLLOWING CONDITIONS MAY CAUSE THE DEVICE TO FUNCTION IMPROPERLY: ADVANCING THE HANDLE TO THE OPEN POSITION WITH TOO MUCH SPEED OR FORCE. ATTEMPTING TO PASS OR OPEN THE DEVICE IN AN EXTREMELY ARTICULATED ENDOSCOPE. ATTEMPTING TO ACTUATE THE DEVICE IN AN EXTREMELY COILED POSITION. ACTUATING THE DEVICE WHEN THE HANDLE IS AT AN ACUTE ANGLE IN RELATION TO THE SHEATH." STERIS ENDOSCOPY HAS REQUESTED THAT THE DISTRIBUTOR OFFER IN-SERVICE TRAINING TO THE USER FACILITY. NO FURTHER ISSUES HAVE BEEN REPORTED.

Description of Event or Problem

THE DISTRIBUTOR REPORTED THAT THE CONTROL WIRE OF A RAPTOR GRASPING DEVICE BROKE DURING PROCEDURAL USE. THE JAWS OF THE DEVICE WERE LEFT IN AN OPEN POSITION AND IT COULD NOT BE WITHDRAWN THROUGH THE ENDOSCOPE, REQUIRING REMOVAL AND REPLACEMENT OF THE ENDOSCOPE TO COMPLETE THE PATIENT PROCEDURE. A PROCEDURAL DELAY WAS REPORTED AS A RESULT OF THIS EVENT.