inforMED
MalfunctionHCI

L-CLIP APPL/REMVR 90 MM RND HANDLE VAR

Received Dec 18, 2013 · Event occurred Sep 21, 2012

Report 1045834-2013-14846 · MDR key 3994542

Device

Generic name

None

Manufacturer

Peter Lazic Gmbh

Catalog number

45.441

Product problems

  • Bent

Patient

Not reported

  • No Patient Involvement

Narrative

Description of Event or Problem

REPORT RECEIVED FROM THE USA STATING THAT "AFTER APPLYING TWO CLIPS, THE APPLIER WOULD NOT GRAB THE THIRD CLIP DURING AN ANEURYSM SURGERY". NO INJURY OR MEDICAL INTERVENTION OCCURRED. THERE WAS NO ADD'L INFO PROVIDED.

Additional Manufacturer Narrative

THE DEVICE WAS RECEIVED BY ANSPACH. ANSPACH IS THE IMPORTER OF THE DEVICE. IF ADD'L INFO IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SENT. REF: (B)(4).