inforMED
InjuryIDP

TISSUE-TEK CRYO 2000 MICROTOME

Received Oct 27, 2000 · Event occurred Sep 28, 2000

Report 2083544-2000-00002 · MDR key 301959

Device

Generic name

Microtome, Cryostat

Model number

4705

Catalog number

4705

Lot number

NA

Product problems

  • Loose

Patient

*

  • Surgical procedure aborted/stopped
  • Surgical procedure, additional

Narrative

Description of Event or Problem

USER FACILITY CLAIMS THAT THEY WERE UNABLE TO OBTAIN USABLE FROZEN TISSUE SECTIONS (SKIN EXCISIONS) DURING A CANCER PT'S SURGERY TO DETERMINED GRAFT AREA. THE PT'S SURGERY WAS SUSPENDED AND THE MARGINS WERE EVALUATED FROM PARAFFIN SECTIONS. THE PT THEN REQUIRED ADD'L SURGERY FOR GRAFTING. THE USER FACILITY BELIEVES THAT THE KNIFE AND/OR KNIFE HOLDER WAS LOOSENING FROM THE CRYOSTAT MICROTOME AND THEY WERE OBTAINING ALTERNATING THICK AND THIN SECTION (UNUSABLE).

Remedial action

  • Replace
  • Inspection