ALEXIS O WOUND PROTECTOR-RETRACTOR
Received Feb 12, 2026
Report 2027111-2026-00363 · MDR key 24328310
Device
Generic name
Ring (wound Protector), Drape Retention, Internal
Manufacturer
Applied Medical ResourcesModel number
C8401Catalog number
101478488
Lot number
1550713
Product problems
- Material Split, Cut or Torn
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
THE EVENT UNIT WAS NOT RETURNED TO APPLIED MEDICAL FOR EVALUATION. HOWEVER, PHOTOS OF THE EVENT UNIT WERE PROVIDED, CONFIRMING THE COMPLAINANT¿S EXPERIENCE OF SHEATH TEAR. BASED ON THE DESCRIPTION OF THE EVENT AND THE PHOTOS PROVIDED, IT IS LIKELY THAT A SHARP OBJECT OR INSTRUMENT CAME INTO CONTACT WITH THE SHEATH, RESULTING IN HOLES OR TEARS THAT FURTHER PROPAGATED DUE TO THE STRESS EXPERIENCED BY THE SHEATH. THE INSTRUCTIONS FOR USE (IFU) STATES, "AVOID SHARP INSTRUMENTS CONTACTING THE DEVICE, AS IT MAY DAMAGE THE DEVICE OR CAUSE PATIENT INJURY." APPLIED MEDICAL HAS PERFORMED A HISTORICAL TREND ANALYSIS AND REVIEW OF PRODUCTION RECORDS AND NO TRENDS WERE IDENTIFIED.
Description of Event or Problem
PROCEDURE PERFORMED: (B)(6). EVENT DATE: UNKNOWN. EVENT DESCRIPTION: I HAVE BEEN ALERTED BY MY CLINICAL COLLEAGUE (NAME REDACTED) THAT WHILST IN THE OPERATING THEATRE 2 OF YOUR PRODUCT C8401 HAVE BROKEN WHILST IN USE. (NAME REDACTED) WILL BE ABLE TO HAVE THE APPROPRIATE TEAM MEMBER EXPLAIN THE BEHAVIOR OF THIS ITEM PRIOR TO USE AND WHILST IN USE IN A HOPE YOUR TEAM CAN WORK OR THE CAUSATION OF THIS OCCURRENCE. THE LOT NUMBERS OF BOTH USED ALEXIS RING (SMALL) IS AS FOLLOWS (1550713). ADDITIONAL INFORMATION RECEIVED FROM APPLIED MEDICAL REPRESENTATIVE VIA EMAIL ON 27JAN26: IMAGES IN THE ATTACHMENTS. I HAVE REQUESTED THE BELOW INFORMATION FROM THE CUSTOMER AND HAVE ATTACHED 2 PICTURES THEY SENT TO ME. AS SOON AS I CAN OBTAIN ANY ADDITIONAL INFORMATION I WILL INFORM YOU. INTERVENTION: (B)(6). PATIENT STATUS: NO PATIENT INJURY REPORTED.
Additional Manufacturer Narrative
THE EVENT UNIT IS NOT BEING RETURNED TO APPLIED MEDICAL FOR EVALUATION. A FOLLOW-UP REPORT WILL BE PROVIDED UPON COMPLETION OF THE INVESTIGATION.
Description of Event or Problem
PROCEDURE PERFORMED: NI. EVENT DESCRIPTION: I HAVE BEEN ALERTED BY MY CLINICAL COLLEAGUE (NAME REDACTED) THAT WHILST IN THE OPERATING THEATRE 2 OF YOUR PRODUCT C8401 HAVE BROKEN WHILST IN USE. (NAME REDACTED) WILL BE ABLE TO HAVE THE APPROPRIATE TEAM MEMBER EXPLAIN THE BEHAVIOR OF THIS ITEM PRIOR TO USE AND WHILST IN USE IN A HOPE YOUR TEAM CAN WORK OR THE CAUSATION OF THIS OCCURRENCE. THE LOT NUMBERS OF BOTH USED ALEXIS RING (SMALL) IS AS FOLLOWS (B)(6). ADDITIONAL INFORMATION RECEIVED FROM APPLIED MEDICAL REPRESENTATIVE VIA EMAIL ON 27JAN2026: IMAGES IN THE ATTACHMENTS. I HAVE REQUESTED THE BELOW INFORMATION FROM THE CUSTOMER AND HAVE ATTACHED 2 PICTURES THEY SENT TO ME. AS SOON AS I CAN OBTAIN ANY ADDITIONAL INFORMATION I WILL INFORM YOU. INTERVENTION: NI. PATIENT STATUS: NO PATIENT INJURY REPORTED.