inforMED
MalfunctionPTS

GRASPING FORCEPS

Received Jan 14, 2025 · Event occurred Dec 16, 2024

Report 9614641-2025-00047 · MDR key 21152725

Device

Generic name

Grasping Forceps

Model number

FG-53SX-1

Lot number

K4909-0549

Product problems

  • Device Reprocessing Problem
  • Device Reprocessing Problem

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS RETURNED TO OLYMPUS FOR INSPECTION. A ROOT CAUSE COULD NOT BE IDENTIFIED. BASED ON THE RESULTS OF THE INVESTIGATION, IT IS LIKELY THE FOLLOWING LED TO THE MALFUNCTION: INSUFFICIENT LUBRICANT WAS APPLIED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.

Description of Event or Problem

IT WAS OBSERVED THAT DURING THE DEVICE EVALUATION, THE SUBJECT DEVICE EXHIBITED FOREIGN MATTER ADHESION DURING PRE-USE INSPECTION. THERE WAS NO PATIENT INVOLVEMENT.