STONE CRUSHING FORCEPS, SGL. ACTION JAWS
Received Apr 18, 2024 · Event occurred Apr 8, 2024
Report 9610617-2024-00114 · MDR key 19139742
Device
Generic name
Forceps
Manufacturer
Karl Storz Se & Co. KgModel number
27074BCatalog number
27074B
Lot number
VY
Product problems
- Mechanical Jam
- Mechanical Jam
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
THE AFFECTED DEVICE HAS BEEN REQUESTED FOR INVESTIGATION BY THE MANUFACTURER. DEVICE WAS NOT YET RETURNED FOR INVESTIGATION. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID: (B)(4).
Description of Event or Problem
IT WAS REPORTED THAT A STONE CRUSHING FORCEPS WOULD NOT CLOSE AFTER A STONE WAS LODGED INSIDE THE JAWS. THIS MEANT THAT THE INSTRUMENT COULDN'T BE REMOVED FROM THE SHEATH DURING A CYSTOSCOPY. THE SURGEON HAD TO REVERT TO AN OPEN PROCEDURE TO FREE THE STONE FROM THE INSTRUMENT SO THAT IT COULD BE SAFELY PASSED BACK THROUGH THE CYSTOSCOPY SHEATHS.
Additional Manufacturer Narrative
RESULT OF INVESTIGATION: IN THIS CASE, AN APPLICATION ERROR MUST BE ASSUMED. BASED ON THE CUSTOMER'S DESCRIPTION "A STONE CRUSHING FORCEPS WOULDN'T CLOSE AFTER A STONE WAS LODGED INSIDE THE JAWS", IT CAN BE ASSUMED THAT THE STONE WAS CAUGHT IN THE REAR AREA OF THE TONGS AND BECAME WEDGED IN THE TEETH OF THE TONGS, MAKING IT IMPOSSIBLE TO OPEN AND CLOSE. THE EXCESSIVE FORCE MAY HAVE CAUSED THE MATERIAL OF THE PULL ROD TO "STRETCH". MATERIAL FATIGUE MAY ALSO OCCUR DUE TO THE AGE OF THE MATERIALS. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID: (B)(4).
Additional Manufacturer Narrative
ADDITIONAL INFORMATION IS PROVIDED IN SECTION D9 TO REFLECT THAT THE PRODUCT WAS RETURNED FOR EVALUATION. THE ITEM IN QUESTION WAS RETURNED TO THE MANUFACTURER. THE INVESTIGATION IS NOT COMPLETED YET. THE INVESTIGATION RESULTS ARE PENDING. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID: (B)(4).