inforMED
MalfunctionPTS

SINGLE USE GRASPING FORCEPS FG-253SX

Received Oct 6, 2023 · Event occurred Sep 20, 2023

Report 9614641-2023-01481 · MDR key 17889351

Device

Generic name

Disposable Grasping Forceps

Model number

FG-253SX

Lot number

38K

Product problems

  • Difficult to Open or Remove Packaging Material
  • Difficult to Open or Remove Packaging Material

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

THIS REPORT IS BEING SUPPLEMENTED TO PROVIDE ADDITIONAL INFORMATION BASED ON THE LEGAL MANUFACTURER'S FINAL INVESTIGATION. THE SUBJECT DEVICE WAS MANUFACTURED IN AUGUST 2023, BUT THE SPECIFIC DATE IS UNKNOWN. A REVIEW OF THE DEVICE HISTORY RECORD FOUND NO DEVIATIONS THAT COULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED ISSUE. BASED ON THE RESULTS OF THE INVESTIGATION, THE PACKAGE PRESENTED NO ABNORMALITIES PRIOR TO SHIPPING. THE STERILE PACKAGES THAT ARE ADDITIONALLY HEAT-SEALED HAVE A HIGHER SEAL STRENGTH THAN THOSE THAT ARE NOT ADDITIONALLY HEAT-SEALED AND MAY BE MORE DIFFICULT TO OPEN. THEREFORE, THIS MAY HAVE CAUSED THE REPORTED EVENT. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.

Description of Event or Problem

A CUSTOMER SUBMITTED A MEDICAL DEVICE INCIDENT OR PROBLEM REPORT (MDIP) TO AHS (ALBERTA HEALTH SERVICES) STATING THE SINGLE USE GRASPING FORCEPS STERILE PACKAGING WAS VERY DIFFICULT TO OPEN. THE PAPER WAS RIPPING WHILE OPENING, CAUSING THE STERILE ITEM TO BECOME CONTAMINATED BEFORE USE. WHILE ATTEMPTING TO OPEN THE FIRST UNIT, THE PACKAGING RIPPED. WHEN THE SECOND UNIT WAS BEING OPENED, THE PACKAGING RIPPED AGAIN, BUT WAS ABLE TO BE OPENED IN A STERILE MANNER AND USED FOR THE SURGICAL PROCEDURE. THERE WAS NO DELAY IN THE PROCEDURE. THE CUSTOMER DOUBLE CHECKED TO CONFIRM THE PACKAGING WAS BEING OPENED IN THE CORRECT ORIENTATION. THERE WAS NO REPORT OF MEDICAL INTERVENTION OR PATIENT HARM ASSOCIATED WITH THIS EVENT. RELATED PATIENT IDENTIFIER: (B)(6).

Additional Manufacturer Narrative

TO DATE, THE DEVICE HAS NOT BEEN RETURNED TO OLYMPUS FOR EVALUATION. THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION OR IF ANY ADDITIONAL INFORMATION IS PROVIDED BY THE USER FACILITY.