inforMED
MalfunctionILZ

SWIVEL CLAMP BAR

Received Jun 12, 2009 · Event occurred Apr 1, 2006

Report 1035617-2009-00012 · MDR key 1475792

Device

Generic name

Swivel Clamp Bar

Model number

NA

Catalog number

00-1042-003-00

Lot number

NA

Product problems

  • Break

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

A CUSTOMER REPORTED NINE INCIDENTS OF BROKEN CLAMPS ON THE 48" SWIVEL CLAMP BAR. THERE WAS NO REPORT OF PT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THESE INCIDENTS.

Additional Manufacturer Narrative

VISUAL INSPECTION OF THE RETURNED DEVICES CONFIRMED THAT THE CLAMPS WERE BROKEN. THIS MEDWATCH IS BEING SUBMITTED LATE, AS IT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW CONDUCTED PURSUANT TO A FDA INSPECTION AT THE MFR'S FACILITY IN JAN, 2008, AND IN RESPONSE TO AN INSPECTIONAL OBSERVATION. THE AGENCY'S INSPECTIONAL OBSERVATION CONCERNED THE MFR'S DECISION NOT TO SUBMIT MDRS FOR CERTAIN EVENTS INVOLVING PRODUCT MANUFACTURED AT THE FACILITY.