inforMED
MalfunctionOCZ

PKG, 5MM MULTI-FUNCTION PEEK HANDLE

Received May 19, 2023 · Event occurred Apr 25, 2023

Report 0002936485-2023-00489 · MDR key 16969413

Device

Generic name

Endoscopic Grasping/cutting Instrument, Non-powered

Model number

0250181106

Catalog number

0250181106

Lot number

1543707K

Product problems

  • Arcing
  • Temperature Problem
  • Arcing
  • Temperature Problem

Patient

NA · Unknown

  • Burn(s)
  • Superficial (First Degree) Burn
  • Burn(s)
  • Superficial (First Degree) Burn

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT WAS BURNED. IT WAS CONFIRMED THAT IT WAS MINOR AND DID NOT NEED MEDICAL INTERVENTION.

Additional Manufacturer Narrative

ALLEGED FAILURE: THIS CUSTOMER EXPERIENCED AN ELECTRICAL ARCHING ON A LAP INSTRUMENT THAT BURNED THE PATIENT. THE INFORMATION ON THE EQUIPMENT IS BELOW. THEY WOULD LIKE AN ASSESSMENT DONE ON BOTH PIECES TO UNDERSTAND HOW IT HAPPENED. THEY ARE NOT INTERESTED IN REPAIRING/REPLACING THESE ITEMS AT THIS TIME. HOW CAN WE SET THIS UP? SALESFORCE CASE NUMBER (B)(4). THE FAILURE(S) IDENTIFIED IN THE INVESTIGATION IS CONSISTENT WITH THE COMPLAINT RECORD. THE PROBABLE ROOT CAUSE/S COULD BE THIRD PARTY REPAIR AND/OR MULTIPLE USAGE INCLUDING STERILIZATION CAUSING THE INSULATION TO DEGRADE. THE PRODUCT WAS RETURNED FOR INVESTIGATION AND THE FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE. MANUFACTURE DATE IS NOT KNOWN.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS BEEN COMPLETED. THE DEVICE MANUFACTURER DATE IS NOT KNOWN AT THIS TIME. HOWEVER, SHOULD IT BECOME AVAILABLE IT WILL BE PROVIDED IN FUTURE REPORTS.

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT WAS BURNED. IT WAS CONFIRMED THAT IT WAS MINOR AND DID NOT NEED MEDICAL INTERVENTION.