inforMED
MalfunctionMFJ

DEK BL MF 0 TC-43 2N 48

Received Mar 10, 2023 · Event occurred Jan 23, 2023

Report 3004365956-2023-00016 · MDR key 16522172

Device

Manufacturer

Teleflex Medical

Model number

IPN000860

Catalog number

833-123

Lot number

74K1800867

Product problems

  • Material Separation
  • Material Separation

Patient

Unknown

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

Narrative

Description of Event or Problem

REPORTED ISSUE: WHILE USING THE SUTURES PLACEMENT DEVICE, THAT IT WAS IMPOSSIBLE TO PROPERLY RECOVER THE DART. THE RESCUE WIRE WAS USED TO RETRIEVE IT. THE CONSEQUENCE FOR THE PATIENT IS AN INCREASE IN THE INTERVENTION TIME BY A FEW MINUTES. THIS IS AN ISOLATED INCIDENT. NO REPORTED INJURY.

Additional Manufacturer Narrative

QN#(B)(4). THE DEVICE HAS NOT BEEN RETURNED FOR INVESTIGATION. A DEVICE HISTORY REVIEW COULD NOT BE CONDUCTED SINCE THE LOT NUMBER AND PRODUCT CODE WAS NOT PROVIDED. NO CORRECTIVE ACTION CAN BE IMPLEMENTED DUE TO THE LACK OF PRODUCT CODE AND BATCH NUMBER TO PERFORM A PROPER INVESTIGATION TO DETERMINE A ROOT CAUSE. IN CONCLUSION, THE CUSTOMER COMPLAINT CANNOT BE CONFIRMED DUE TO THE LACK OF PRODUCT SAMPLE AND BATCH NUMBER TO PERFORM A PROPER INVESTIGATION AND DETERMINE A ROOT CAUSE. TELEFLEX WILL CONTINUE TO MONITOR AND TREND RELATED EVENTS.