inforMED
MalfunctionGET

ENDO GRASP

Received May 31, 2017 · Event occurred Jan 2, 2017

Report 2647580-2017-05514 · MDR key 6603740

Device

Generic name

Motor, Surgical Instrument, Pneumatic Powered

Model number

174233

Catalog number

174233

Lot number

P6C0026X

Product problems

  • Mechanics Altered
  • Mechanics Altered

Patient

Not reported

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

POST MARKET VIGILANCE (PMV) LED AN EVALUATION OF ONE DEVICE. THE EVENT REPORT ALLEGES THE PRODUCT WAS USED IN A SURGICAL PROCEDURE. THE ARTICULATION KNOB WAS SHEARED OFF AND DETACHED FROM THE HANDLE. THE DEVICE COULD NO LONGER BE ARTICULATED. RECORDS FROM EACH MANUFACTURING LOT ARE THOROUGHLY REVIEWED TO ENSURE THAT PRODUCTS ARE RELEASED MEETING ALL QUALITY RELEASE SPECIFICATIONS AT THE TIME OF MANUFACTURE. ANALYSIS CONCLUDED THERE WERE NO ASSEMBLY COMPONENT RELATED FAILURES; THEREFORE, A DEVICE HISTORY RECORD WILL NOT BE PERFORMED. REPLICATION OF THE REPORTED EVENT CAN OCCUR WHEN APPLYING EXCESSIVE FORCE TO THE ARTICULATION KNOB BY ROTATING TOO FAR AND FORCING IT. THE ROOT CAUSE OF THE OBSERVED DAMAGE WAS MISUSE OF THE PRODUCT WHICH WOULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED INCIDENT. SHOULD NEW INFORMATION BECOME AVAILABLE, THE FILE WILL BE RE-OPENED AND THE INVESTIGATION SUMMARY WILL BE AMENDED AS APPROPRIATE.

Description of Event or Problem

ACCORDING TO THE REPORTER: DURING THE PROCEDURE, THE LEVER THAT IS USED TO ROTATE THE INSTRUMENT WAS NOT WORKING.

Additional Manufacturer Narrative

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem

ACCORDING TO THE REPORTER: PER ADDITIONAL INFORMATION RECEIVED PATIENT STATUS IS STABLE. THERE WAS NO PATIENT INJURY.