inforMED
MalfunctionNON

FORCEPS, BIOPSY, NON-ELECTRIC, REPROCESSED

Received Apr 24, 2017 · Event occurred Mar 27, 2017

Report 2134070-2017-00006 · MDR key 6516707

Device

Generic name

Forceps, Biopsy, Non-electric, Reprocessed

Manufacturer

Sterilmed, Inc.

Model number

MIC1333

Catalog number

MIC1333

Lot number

1974707

Product problems

  • Break
  • Break

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

CONTACT WITH THE ACCOUNT CONCERNING THE DEVICE WAS MADE. A RESPONSE WAS RECEIVED INDICATING THAT THE DEVICE(S) WILL NOT BE RETURNED TO THE MANUFACTURER FOR A FULL INVESTIGATION. THE DHR WAS REVIEWED AND NO DISCREPANCIES WERE FOUND.

Description of Event or Problem

IT WAS REPORTED THAT THE DEVICE BROKE WHILE IN THE PATIENT. ADDITIONAL DETAILS WERE REQUESTED BUT NO ADDITIONAL INFORMATION IS AVAILABLE. THIS WAS NOTED AS A GENERAL COMPLAINT OF THIS HAPPENING AGAIN (THAT WAS UNDOCUMENTED AND UNREPORTED TO THE MANUFACTURER, FROM A PREVIOUS COMPLAINT OF THE SAME ISSUE.