inforMED
MalfunctionFZP

SHAFT COMPL. D:10MM L:370 MM

Received Mar 27, 2015

Report 2916714-2015-00244 · MDR key 4647821

Device

Generic name

Clip Applier

Manufacturer

Aesculap, Inc.

Model number

PL536R

Catalog number

PL536R

Product problems

  • Defective Device

Patient

Not reported

  • No Code Available

Narrative

Description of Event or Problem

COUNTRY OF COMPLAINT: (B)(6). SHARP EDGES CAUSED DAMAGE TO BLOOD VESSEL.

Additional Manufacturer Narrative

US. REPORTING AGENT NOTIFIED ON: (B)(4) 2015. MANUFACTURING SITE EVALUATION: THE JAW OF THE RECEIVED DEVICE IS DAMAGED. THIS FAILURE WAS CAUSED BY FALLING/DROP DOWN OF THE INSTRUMENT. THERE ARE INDICATIONS OF MATERIAL OR PRODUCT DEVIATIONS. FAILURE IS USER RELATED.