inforMED
MalfunctionGDG

SYMMETRY SURGICAL

Received Jul 19, 2024 · Event occurred Jun 24, 2024

Report 3007208013-2024-00034 · MDR key 19784446

Device

Generic name

Hook

Model number

80-1531

Lot number

823832

Product problems

  • Break
  • Break

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

RETAINED PARTS (PART# 80-1531) FROM THE LOT (LOT# 823832) WERE REVIEWED AND DID NOT FIND ANY NERVE HOOKS THAT WERE MISSING THE 3.00 MM BALL TIP. THE REPORTED PART WAS DISCARDED BY THE HOSPITAL AND LOT NUMBER IS UNKNOWN. WITHOUT FURTHER INFORMATION THE ROOT CAUSE IS UNKNOWN. 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

PER THE COMPLAINANT, "WE JUST HAD 3MM BALL TIP PROBE 80-1531 BREAK OFF INTO THE PATIENT. CONFIRMED ALL PIECES REMOVED AND CONFIRMED BY X-RAY".