inforMED
MalfunctionPTS

CAPTURA

Received Jan 31, 2025 · Event occurred Jan 21, 2025

Report 21282317 · MDR key 21282317

Device

Generic name

Endoscopic Grasping/cutting Instrument, Non-powered, Exempt

Manufacturer

Cook Incorporated

Model number

G53006

Catalog number

DBF-1.8-160-S

Lot number

W4883738

Patient

85 YR · Male

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

Narrative

Description of Event or Problem

BIOPSY FORCEPS BROKE DURING TAKING BIOPSIES.