inforMED
MalfunctionHBT

LIGACLIP*ENDO MED/LG APPLIER

Received Dec 12, 2024 · Event occurred Dec 2, 2024

Report 3005075853-2024-09505 · MDR key 20919238

Device

Generic name

Applier, Hemostatic Clip

Catalog number

EL314

Product problems

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

Patient

NA · Unknown

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

Narrative

Description of Event or Problem

IT WAS REPORTED THAT DURING AN UNKNOWN PROCEDURE, THE CLIPPER WAS STUCK AND DID NOT TAKE THE CLIPS. NO PATIENT CONSEQUENCES.

Additional Manufacturer Narrative

(B)(4). DATE SENT: 12/12/2024. D4: UDI: AS THE LOT NUMBER FOR THE DEVICE INVOLVED IN THE EVENT WAS NOT PROVIDED, THE FULL UDI IS CURRENTLY NOT AVAILABLE. D4: UDI: THE EXPIRATION DATE IS CURRENTLY NOT AVAILABLE. THEREFORE, THE FULL UDI IS CURRENTLY NOT AVAILABLE. D4: BATCH # UNK. ATTEMPTS ARE BEING MADE TO OBTAIN THE FOLLOWING INFORMATION. TO DATE NO RESPONSE HAS BEEN PROVIDED. IF FURTHER DETAILS ARE RECEIVED AT A LATER DATE A SUPPLEMENTAL MEDWATCH WILL BE SENT: "WAS THE DEVICE CLOSED? DIFFICULT TO OPEN? DID THE DEVICE EVENTUALLY OPEN? WERE THE JAWS DAMAGED? WAS THE DEVICE DIFFICULT TO FIRE? IF OTHER PLEASE SPECIFY". ATTEMPTS HAVE BEEN MADE TO RETRIEVE THE DEVICE. TO DATE THE DEVICE HAS NOT BEEN RETURNED. IF THE DEVICE OR FURTHER DETAILS ARE RECEIVED AT A LATER DATE A SUPPLEMENTAL MEDWATCH WILL BE SENT. THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY ETHICON, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, ETHICON, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE.