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JACOBSON MOSQUITO FORCEPS

Received Apr 16, 2004

Report 1423507-2004-00028 · MDR key 550827

Device

Generic name

Jacobson Mosquito Forceps

Manufacturer

Cardinal Health

Model number

CH8610

Catalog number

CH8610

Lot number

UNK

Product problems

  • Component(s), broken
  • Device Or Device Fragments Location Unknown

Patient

84 YR

  • Therapy/non-surgical treatment, additional

Narrative

Description of Event or Problem

DURING DECONTAMINATION OF A SMALL VESSEL TRAY, THE NURSE'S AIDE NOTED THAT ONE JAW OF THE JACOBSON MOSQUITO CLAMP WAS BROKEN. THE INSTRUMENT/CLAMP HAD BEEN PART OF THE TRAY THAT WAS PREVIOUSLY USED IN A LEFT CAROTID ENDARTERECTOMY PROCEDURE. THE SURGEON WAS MADE AWARE. ALTHOUGH THE CLAMP MAY NOT HAVE BEEN USED DURING PROCEDURE, AS A PRECAUTIONARY MEASURE, THE SURGEON ORDERED AN X-RAY OF THE PT'S LEFT NECK. THE X-RAY RESULTS WERE NEGATIVE FOR ANY FOREIGN OBJECT.