inforMED
MalfunctionGDF

ENDOPATH* REUSABLE ENDOSCOPIC NEEDLE HOLDER

Received May 25, 2011 · Event occurred May 2, 2011

Report 2210968-2011-00682 · MDR key 2103115

Device

Generic name

Needle Holder

Manufacturer

Ethicon

Model number

NA

Catalog number

E705R

Lot number

NA

Product problems

  • Other (for use when an appropriate device code cannot be identified)

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

(B)(4). CONCLUSION: THE PRODUCT UPON WHICH THIS MEDWATCH IS BASED IS ANTICIPATED. ONCE THE PRODUCT IS RECEIVED, ANY FURTHER INFORMATION DERIVED FROM THE EVALUATION WILL BE SUBMITTED IN A SUPPLEMENTAL 3500A FORM.

Description of Event or Problem

IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON (B)(6) 2011 AND AN ENDOSCOPIC NEEDLE HOLDER WAS USED. DURING THE PROCEDURE, THE NEEDLE HOLDER WOULD NOT RELEASE WHEN CLAMPED DOWN ON SUTURE. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED.

Remedial action

  • Other