inforMED
MalfunctionEMF

STRATOS

Received Oct 20, 2014 · Event occurred Aug 5, 2014

Report 2437731-2014-00001 · MDR key 4195268

Device

Generic name

Endoscopic Knife

Model number

5500

Lot number

0614

Product problems

  • Detachment Of Device Component
  • Mechanical Problem

Patient

58 YR

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

.

Description of Event or Problem

WHILE INSERTING SCOPE INTO DEVICE, MANIPULATED THE DEVICE SIDE TO SIDE AND ATTEMPTED TO DEPLOY BLADE. BLADE POPPED OFF.

Remedial action

  • Other