inforMED
MalfunctionFFO

LAPO-CLAMP II

Received Sep 21, 2022

Report 3004608878-2022-00191 · MDR key 15461694

Device

Generic name

Surgical Retractor

Catalog number

3900

Product problems

  • Separation Problem
  • Separation Problem

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

A FACILITY REPORTED THAT ONE PIECE OF THE LAPO-CLAMP II (3900) FELL OFF DURING SURGERY AND ONTO THE PATIENT. ALL PARTS WERE RECOVERED. THE BROKEN COMPONENT WAS REPLACED TO FINISH THE CASE. THE EVENT DID NOT LEAD TO PATIENT INJURY; HOWEVER, AN UNSPECIFIED DELAY IN SURGERY WAS REPORTED.

Additional Manufacturer Narrative

AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFORMATION. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative

THE SUSPECTED LAPO-CLAMP II (3900) WAS NOT RETURNED FOR EVALUATION AND LOT NUMBER HAS NOT BEEN PROVIDED; THEREFORE, AN EVALUATION OF THE DEVICE NOR REVIEW OF THE DEVICE HISTORY RECORD (DHR) COULD NOT PERFORMED. A POSSIBLE ROOT CAUSE OF A PIECE FALLING OFF DURING SURGERY COULD BE USE ERROR, HOWEVER THIS IS UNABLE TO BE CONFIRMED WITHOUT BEING ABLE TO EVALUATE THE PIECE THAT ALLEGEDLY FELL OFF DURING SURGERY. THE ROOT CAUSE, THEREFORE COULD NOT BE DETERMINED. IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE, THIS COMPLAINT WILL BE REOPENED AND RESPECTIVE EVALUATION PERFORMED. TRENDS WILL BE MONITORED FOR THIS AND SIMILAR ISSUES. AT PRESENT, WE CONSIDER THIS COMPLAINT TO BE CLOSED.