inforMED
MalfunctionOCZ

PKG, 5MM PEEK MONOPOLAR HANDLE

Received Aug 7, 2023 · Event occurred Jul 10, 2023

Report 0002936485-2023-00761 · MDR key 17476444

Device

Generic name

Endoscopic Grasping/cutting Instrument, Non-powered

Catalog number

0250080617

Lot number

UNKNOWN

Product problems

  • Material Fragmentation
  • Material Fragmentation

Patient

NA · Unknown

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

Narrative

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 INSULATION HAS BEEN COMPROMISED.

Description of Event or Problem

IT WAS REPORTED THAT THE INSULATION HAS BEEN COMPROMISED.

Additional Manufacturer Narrative

THE PRODUCT WAS RETURNED FOR INVESTIGATION AND THE FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE. ALLEGED FAILURE: IT WAS REPORTED BY THE CUSTOMER THAT THE LAPAROSCOPIC GRASPING FORCEPS HAD THE BLACK INSULATION PEEL OFF INSIDE THE PATIENT. THE FAILURE(S) IDENTIFIED IN THE INVESTIGATION IS CONSISTENT WITH THE COMPLAINT RECORD. THE PROBABLE ROOT CAUSE COULD BE GOUGING OR SCRAPING OF THE INSULATION MATERIAL, WHICH MAY HAVE OCCURRED DURING USE AND/OR STERILIZATION CAUSING THE MATERIAL TO BEGIN TO PEEL. THE LOT NUMBER IS UNKNOWN, THEREFORE THE MANUFACTURE DATE CANNOT BE CONFIRMED.