inforMED
MalfunctionFZP

ENDO CLIP III

Received Jun 26, 2026 · Event occurred Jun 8, 2026

Report 9612501-2026-01750 · MDR key 25635946

Device

Generic name

Clip, Implantable

Model number

176630

Catalog number

176630

Lot number

J6A4031Y

Product problems

  • Entrapment of Device
  • Material Twisted/Bent
  • Mechanics Altered

Patient

NA · Unknown

  • Insufficient Information

Narrative

Description of Event or Problem

IT WAS REPORTED THAT INTRAOPERATIVELY, THE CLIP PUSHER WAS BENT ON FIRST USE AND CLIPS CAME OUT BUT WERE NOT CLIPPING. NO CLIP WAS ABLE TO LOAD PROPERLY INTO THE JAWS. THE JAWS ALSO LOCKED ON TISSUE. ANOTHER DEVICE WAS USED TO RESOLVE THE ISSUE.

Additional Manufacturer Narrative

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.