inforMED
InjuryOJG

MEDLINE

Received Jul 8, 2026 · Event occurred Jun 9, 2026

Report 1423395-2026-00366 · MDR key 25752581

Device

Generic name

Ro-diep Pack

Catalog number

DYNJ82393C

Lot number

25KBA529

Product problems

  • Appropriate Device Problem Term/Code Not Available

Patient

Not reported

  • Hemorrhage/Blood Loss/Bleeding

Narrative

Additional Manufacturer Narrative

ACCORDING TO THE FACILITY ON (B)(6) 2026, THE SURGEON REQUESTED ANOTHER CLIP APPLIER THAT WAS FROM THEIR DIEP PACK AND WAS FROM THE SAME LOT NUMBER AS THE FIRST AND WHEN IT WAS USED TO CLIP TO THE VESSEL IT ALSO CUT THE VESSEL. THE SURGEON USED THE PRODUCT TO ATTACH A CLIP TO THE VESSEL IN THE USUAL FASHION AND THE PRODUCT CUT THE VESSEL. PER THE SURGEON THE BULLDOG CLAMP WAS APPLIED TO THE VESSEL TO CONTROL THE BLEEDING WHILE THE CIRCULATING RN WENT TO RETRIEVE A THIRD MEDIUM CLIP APPLIER FROM THE SUPPLY ROOM. THE CLIP WAS SUCCESSFULLY APPLIED. PER THE SURGEON THE PATIENT IS DOING WELL. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT CAUSED OR CONTRIBUTED TO A DEATH OR SERIOUS INJURY. BASED ON THE INFORMATION REVIEWED, THIS IS A REPORTABLE EVENT AS DEFINED UNDER 21 CFR 803.3.

Description of Event or Problem

ACCORDING TO THE FACILITY ON (B)(6) 2026, THE SURGEON REQUESTED ANOTHER CLIP APPLIER THAT WAS FROM THEIR DIEP PACK AND WAS FROM THE SAME LOT NUMBER AS THE FIRST AND WHEN IT WAS USED TO CLIP TO THE VESSEL IT ALSO CUT THE VESSEL. THE SURGEON USED THE PRODUCT TO ATTACH A CLIP TO THE VESSEL IN THE USUAL FASHION AND THE PRODUCT CUT THE VESSEL.