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
Manufacturer
Stryker Endoscopy-san JoseModel number
0250181106Catalog 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.