inforMED
MalfunctionNON

FORCEPS, BIOPSY, NON-ELECTRIC, REPROCESSED

Received Apr 25, 2017

Report 2134070-2017-00008 · MDR key 6520638

Device

Generic name

Forceps, Biopsy, Non-electric, Reprocessed

Manufacturer

Sterilmed, Inc.

Model number

MIC1333

Catalog number

MIC1333

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 FOR A FULL INVESTIGATION. SHOULD THE COMPLAINT DEVICE(S) EVER BE RECEIVED IN THE FUTURE, AN INVESTIGATION WILL BE CONDUCTED AND A SUPPLEMENTAL REPORT WILL BE SENT. THE DEVICE HISTORY REPORT WAS NOT REVIEWED AS NO LOT NUMBER WAS GIVEN.

Description of Event or Problem

IT WAS REPORTED THAT THE JAW WAS BENT AND THE WIRE WAS STICKING OUT OF THE JAW. BROKEN INSIDE PATIENT. NO PATIENT INJURY OR CONSEQUENCE REPORTED.