MalfunctionHBQ
HEMOLOK REMOVER XL/L
Received May 27, 2010 · Event occurred Apr 15, 2010
Report 1044475-2010-00053 · MDR key 1707197
Device
Generic name
Clip Remover
Manufacturer
Teleflex MedicalModel number
NACatalog number
544130
Lot number
2101307-030
Product problems
- Break
- Detachment Of Device Component
Patient
Not reported
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
THE EVENT IS REPORTED AS: THE HANDLE SNAPPED OFF DURING A PROCEDURE. NO FURTHER INFO IS AVAILABLE. NO REPORTED PT INJURY.
Additional Manufacturer Narrative
SAMPLE HAS BEEN RETURNED FOR INVESTIGATION. THE INVESTIGATION IS NOT COMPLETE AT THE TIME OF THIS REPORT. A FOLLOW UP INVESTIGATION REPORT WILL BE SENT WHEN COMPLETED.
Remedial action
- Other