ENDO CLIP III

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.

Description of Event or Problem

ACCORDING TO THE REPORTER, IN A LAPAROSCOPIC PROCEDURE, DURING BLOOD VESSEL CLOSURE, ONE CLIP APPLIER¿S COUNTER DID NOT ADVANCE. A SECOND CLIP APPLIER HAD THE TIP OF ITS CLIP APPEAR TO BE SLIGHTLY PROTRUDING DURING LOADING. THE ISSUE HAPPENED TWO OR THREE TIMES CONSECUTIVELY, SO DEVICE USAGE WAS DISCONTINUED AND ANOTHER CLIP APPLIER WAS USED TO COMPLETE THE CASE. THERE WAS NO PATIENT INJURY.