inforMED
MalfunctionHCI

AUTO ENDO5 ML

Received Nov 1, 2013 · Event occurred Oct 23, 2013

Report 3003898360-2013-00514 · MDR key 3532508

Device

Generic name

Clip Applier

Manufacturer

Teleflex Medical

Catalog number

543965

Lot number

01B1300125

Product problems

  • Component Falling
  • Difficult to Advance

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE EVENT IS REPORTED AS: COMPLAINT ALLEGES: CLIP WAS NOT LOADING PROPERLY AND WOULD FALL OUT OF THE APPLIER. NO PT INJURY REPORTED. PT CURRENT CONDITION IS FINE.

Additional Manufacturer Narrative

NO SAMPLE IS AVAILABLE FOR THE MFR TO EVALUATE. A DEVICE HISTORY RECORD (DHR) REVIEW DID NOT SHOW ANY ISSUES RELATED TO THIS COMPLAINT. COMPLAINT CANNOT BE CONFIRMED SINCE THE SAMPLE WAS NOT AVAILABLE FOR INVESTIGATION, THEREFORE, IT IS NOT POSSIBLE TO DETERMINE THE ROOT CAUSE FOR THE DEFECT REPORTED AND A CORRECTIVE ACTION FOR IT. COMPLAINT CANNOT BE CONFIRMED SINCE THE SAMPLE WAS NOT AVAILABLE FOR INVESTIGATION, HOWEVER, WE WILL CONTINUE TO MONITOR AND TREND RELATING COMPLAINTS.