inforMED
MalfunctionFCS

IRIS URETERAL KIT

Received Feb 15, 2024 · Event occurred Jan 19, 2024

Report 0002936485-2024-00133 · MDR key 18717280

Device

Generic name

Light, Catheter, Fiberoptic, Glass, Ureteral

Catalog number

0220180518

Lot number

10286708

Product problems

  • Fracture
  • Fracture

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 DEVICE BROKE DURING THE PROCEDURE.

Additional Manufacturer Narrative

ALLEGED FAILURE: FIBER BROKE WHEN UROLOGIST WAS TRYING TO PUSH INTO CATHETER. THEY OPENED A NEW KIT AND THEN IT WORKED FINE. SALESFORCE CASE NUMBER (B)(4) THE FAILURE(S) IDENTIFIED IN THE INVESTIGATION IS CONSISTENT WITH THE COMPLAINT RECORD. THE PROBABLE ROOT CAUSES COULD BE EXCESSIVE BENDING DURING SET UP OR EXTREME SHIPPING OR STORAGE CONDITIONS. THE PRODUCT WAS RETURNED FOR INVESTIGATION AND THE FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE. MANUFACTURE DATE IS NOT KNOWN.

Description of Event or Problem

IT WAS REPORTED THAT THE DEVICE BROKE DURING THE PROCEDURE.