inforMED
MalfunctionFHO

GYN OPERATIVE 12 DEGREE 2.7MM LONG AUTOCLAVABLE

Received Feb 1, 2021

Report 1519132-2021-00003 · MDR key 11261542

Device

Generic name

Gyn Operative 12 Degree 2.7mm Long Autoclavable

Manufacturer

Gyrus Acmi, Inc

Model number

G27L-12A

Product problems

  • Break
  • Defective Device
  • Break
  • Defective Device

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

THIS SUPPLEMENTAL REPORT IS TO INFORM THAT UPON FURTHER REVIEW, THIS IS NOT A REPORTABLE MALFUNCTION. PER THE LEGAL MANUFACTURER, THERE IS NO POTENTIAL FOR THIS ISSUE TO CAUSE OR CONTRIBUTE TO DEATH OR SERIOUS INJURY IF THE MALFUNCTION WERE TO RECUR.

Additional Manufacturer Narrative

DEVICE WAS EVALUATED. INSPECTION OF THE DEVICE CONFIRMED THE REPORTED ISSUE. DEVICE WAS FOUND WITH FRACTURED INTERNAL LENS. INVESTIGATION IS ONGOING THEREFORE THE ROOT CAUSE CANNOT BE DETERMINED AT THIS TIME. IF ADDITIONAL INFORMATION BECOMES AVAILABLE THIS REPORT WILL BE SUPPLEMENTED ACCORDINGLY.

Description of Event or Problem

IT WAS REPORTED THAT THE DEVICE WAS FOUND WITH FRACTURED INTERNAL LENS. THE ISSUE OCCURRED DURING REPROCESSING. THERE WAS NO PATIENT INVOLVEMENT ON THIS EVENT REPORTED. NO USER INJURY REPORTED.