FORCEPS, BIOPSY, NON-ELECTRIC, REPROCESSED
Received Oct 26, 2016 · Event occurred Aug 24, 2016
Report 2134070-2016-00077 · MDR key 6057839
Device
Generic name
Forceps, Biopsy, Non-electric, Reprocessed
Manufacturer
Sterilmed, Inc.Model number
MIC1332Catalog number
MIC1332
Lot number
1944811
Product problems
- Break
- Break
Patient
Not reported
- No Consequences Or Impact To Patient
- No Consequences Or Impact To Patient
Narrative
Additional Manufacturer Narrative
THE BIOPSY FORCEPS WERE RETURNED WITH A CLEARLY DAMAGED JAW, AND A PORTION OF THE MECHANISM THAT OPENS AND CLOSES THE JAW WAS OUT OF POSITION. THE DEVICE WAS EXAMINED AND CONTAMINANTS CONSISTENT WITH EXPOSURE, IF NOT USE, WERE FOUND TO BE PRESENT. THE DEVICE WAS ABLE TO OPEN AND CLOSE WITHOUT ISSUE. THE ROOT CAUSE FOR THE DAMAGE WAS UNDETERMINED, HOWEVER, AS THE DEVICE WAS USED IN THE FIELD, THE DEVICE MAY HAVE BEEN MISHANDLED OR DAMAGED DURING ITS USE.
Additional Manufacturer Narrative
THE DEVICE HAS NOT YET BEEN RETURNED TO THE MANUFACTURER AT THE TIME OF THIS REPORT. A SUPPLEMENTAL FORM WILL BE SENT ONCE THE EVALUATION IS COMPLETED IF THE DEVICE IS RETURNED. THE DEVICE HISTORY REPORT WAS REVIEWED AND NO DISCREPANCIES WERE FOUND.
Description of Event or Problem
IT WAS REPORTED THAT THE DEVICE WAS TESTED BY OPENING AND CLOSING PRIOR TO PLACING IT IN THE SCOPE. UPON OPENING, WHILE IN THE PATIENT TO RETRIEVE A BIOPSY, THE DEVICE BROKE. IT WAS NOTED THAT NO FRAGMENTS OR PIECES WERE LEFT IN THE PATIENT. IT WAS REPORTED THAT THERE WAS NO HARM DETECTED TO THE PATIENT.