inforMED
MalfunctionOCZ

DIAGNOSTIC FTRD SET

Received Dec 27, 2022 · Event occurred Nov 30, 2022

Report 16050944 · MDR key 16050944

Device

Generic name

Endoscopic Grasping/cutting Instrument, Non-powered

Model number

200.76

Catalog number

200.76

Lot number

834867

Product problems

  • Activation, Positioning or Separation Problem

Patient

21900 DA · Unknown

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

Narrative

Description of Event or Problem

FAILED TO DEPLOY, REMOVED ENDOSCOPE WITH DEVICE.