inforMED
MalfunctionHXK

SYMMETRY SURGICAL INC.

Received Jun 28, 2024

Report 3007208013-2024-00031 · MDR key 19632995

Device

Generic name

Needle Holder

Model number

36-3011

Product problems

  • Break
  • Break

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

RECEIVED VIA MEDWATCH REPORT# MW5154902. THE INFORMATION WAS RECEIVED THROUGH THE FDA WITH NO CUSTOMER INFORMATION PROVIDED. AS SUCH, NO INVESTIGATION CAN BE COMPLETED, CONFIRMATION OF THE COMPLAINT IS UNDETERMINABLE, AND A TRUE ROOT CAUSE CAN NOT BE ESTABLISHED. IF ADDITIONAL INFORMATION IS OBTAINED THAT IS PERTINENT TO THE INVESTIGATION OR PROVIDES ADDITIONAL DETAILS A FOLLOW-UP REPORT WILL BE PROVIDED. UNTIL SUCH TIME, THIS CAN BE SEEN AS THE FINAL REPORT.

Description of Event or Problem

THE COMPLAINANT ALLEGES, "DURING NEEDLE DRIVER INSPECTION TO ASSESS FOR INSTRUMENT INTEGRITY PRIOR TO USE, THE NEEDLE DRIVER TIP WAS DETECTED TO BE BENT WITH A SMALL PORTION OF IT THAT BROKE OFF. THE NEEDLE DRIVER WAS NEVER UTILIZED DURING THE CASE AND IT ALONG WITH THE BROKE TIP WERE SUBSEQUENTLY SEQUESTERED."