inforMED
MalfunctionEMD

V. MUELLER

Received May 22, 2002 · Event occurred May 9, 2002

Report MW1025104 · MDR key 395929

Device

Generic name

Small Hemostat

Manufacturer

Unk

Model number

SU2702

Catalog number

*

Lot number

*

Product problems

  • Tip breakage

Patient

16 YR

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

DURING ARTHROSCOPY PROCEDURE THE TIP OF THE SMALL HEMOSTAT BROKE OFF INTO THE SOFT TISSUE, CLEAN BREAK WITH NO FRAGMENTS . TIP REMOVED UNDER DIRECT VISUALIZATION OF SCOPE WITHOUT INCIDENT OR INJURY TO THE PT AND PROCEDURE CONTINUED.