inforMED
MalfunctionOCZ

FOREIGN BODY FORCEPS

Received Dec 2, 2020 · Event occurred Nov 20, 2020

Report 10934667 · MDR key 10934667

Device

Generic name

Endoscopic Grasping/cutting Instrument, Non-powered

Model number

27071TJ

Lot number

OP 01

Product problems

  • Break

Patient

Not reported

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

THREE (3) FR ALLIGATOR CYST GRASPER BROKE DURING FIRST ATTEMPT TO GRASP A URETERAL STENT. THE PIECE OF JAW THAT BROKE OFF WAS RETRIEVED AND REMOVED FROM THE PATIENT. DEVICE PURCHASED IN (B)(6) 2020, REMAINS UNDER 1-YEAR WARRANTY.

Description of Event or Problem

THREE (3) FR ALLIGATOR CYST GRASPER BROKE DURING FIRST ATTEMPT TO GRASP A URETERAL STENT. THE PIECE OF JAW THAT BROKE OFF WAS RETRIEVED AND REMOVED FROM THE PATIENT. DEVICE PURCHASED IN (B)(6) 2020, REMAINS UNDER 1-YEAR WARRANTY.