inforMED
MalfunctionGET

ENDO DISSECT

Received Oct 31, 2024 · Event occurred Oct 16, 2024

Report 2647580-2024-04598 · MDR key 20577336

Device

Generic name

Motor, Surgical Instrument, Pneumatic Powered

Model number

176645

Catalog number

176645

Lot number

P4D1214

Product problems

  • Difficult to Open or Close
  • Difficult to Open or Close

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

D10 CONCOMITANT PRODUCT: 176645, 176645 ENDO DISSECT 254 (LOT#P4D1214); 176645, 176645 ENDO DISSECT 254 (LOT#P4A0946); 176645, 176645 ENDO DISSECT 254 (LOT#P4A0946). MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem

ACCORDING TO THE REPORTER, DURING A LAPAROSCOPIC CHOLECYSTECTOMY, WHEN DISSECTING THE FREE OMENTUM, THE TIP OF THE FOUR DEVICES WERE NOT FULLY CLOSED. THE USER OPENED ANOTHER DEVICE WITH A DIFFERENT LOT NUMBER TO RESOLVE THE ISSUE. THERE WAS NO PATIENT INJURY.