inforMED
MalfunctionDWZ

JAWZ ENDOMYOCARDIAL BIOPSY FORCEP 2.2 MM X 50 CM

Received Jan 23, 2013 · Event occurred Dec 14, 2012

Report MW5028780 · MDR key 2935597

Device

Generic name

Biopsy Forcep

Catalog number

190080

Lot number

A32965

Product problems

  • Break

Patient

64 YR

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

DEVICE WAS EMPLOYED ENDOSCOPICALLY FOR PANCREATIC LOBULE BIOPSY. THE DEVICE SNAPPED DURING THE PROCEDURE WHEN THE PROVIDER ATTEMPTED TO CLOSE THE CLAMP/TEETH. NO INJURY TO THE PATIENT.