inforMED
MalfunctionFFO

GOSSET ABDOMINAL RETRACTOR MED 55MM

Received Sep 10, 2020

Report 9610612-2020-00462 · MDR key 10515545

Device

Generic name

Abdominal Surgery

Manufacturer

Aesculap Ag

Model number

BV502R

Catalog number

BV502R

Lot number

4511586012

Product problems

  • Product Quality Problem
  • Defective Component
  • Product Quality Problem
  • Defective Component

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Clinical Signs, Symptoms or Conditions
  • No Known Impact Or Consequence To Patient
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

MANUFACTURING SITE EVALUATION: INVESTIGATION ON-GOING. ADDITIONAL INFORMATION / INVESTIGATION RESULTS WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS AN ISSUE WITH A ABDOMINAL RETRACTOR. ACCORDING TO THE COMPLAINT DESCRIPTION THE BLADES AND SLIDEAWAY IS NOT SEALED IN ARM. THERE WAS NO PATIENT HARM. ADDITIONAL INFORMATION WAS NOT PROVIDED NOR AVAILABLE. THE MALFUNCTION IS FILED UNDER (B)(4).

Additional Manufacturer Narrative

INVESTIGATION RESULTS: INVESTIGATION WAS CARRIED OUT VISUALLY AND MICROSCOPICALLY. ACCORDING TO THE DRAWING BV502R, THE COMPONENTS ARE WELDED AND GRINDED ON THE OUTER SIDE. THERE IS NO WELDING SEAM ON THE OPPOSITE SIDE. IT CAN BE CONFIRMED THAT THE CONNECTION POINTS ARE ACCORDING TO THE SPECIFICATION VALID AT THE TIME OF PRODUCTION. THE DEVICE QUALITY AND MANUFACTURING HISTORY RECORDS (DHR) WILL BE CHECKED FOR THE LOT FROM THE QUALITY COORDINATOR OF THE PRODUCTION PLANT. IF THE REVIEW SHOWS ANY CONSPICUITIES, THE REPORT WILL BE UPDATED AND ACTIONS WILL BE INITIATED. NO DEVIATIONS CAN BE FOUND, THE DEVICE IS ACCORDING TO THE SPECIFICATION. A CAPA WAS NOT INITIATED.