inforMED
MalfunctionPTS

GRASPING FORCEPS

Received Jul 23, 2024 · Event occurred Jul 2, 2024

Report 9614641-2024-01492 · MDR key 19810322

Device

Generic name

Grasping Forceps

Model number

FG-53SX-1

Product problems

  • Failure to Clean Adequately
  • Failure to Clean Adequately

Patient

NA · 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 APPROVED FINAL INVESTIGATION. 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, AND SINCE THE DEVICE MALFUNCTION WAS NOT CONFIRMED DURING EVALUATION, THE DEFINITIVE ROOT CAUSE OF THE REPORTED ISSUE COULD NOT BE DETERMINED. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.

Additional Manufacturer Narrative

THE DEVICE EVALUATION IS ONGOING. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

IT WAS OBSERVED DURING THE DEVICE INSPECTION, THAT THE GRASPING FORCEPS EXHIBITED BROWN FOREIGN MATERIAL ON THE LINK MECHANISM. THERE WERE NO REPORTS OF PATIENT INVOLVEMENT.