inforMED
MalfunctionGET

ENDO DISSECT

Received Jun 7, 2017 · Event occurred Apr 25, 2017

Report 2647580-2017-05538 · MDR key 6618413

Device

Generic name

Motor, Surgical Instrument, Pneumatic Powered

Model number

176645

Catalog number

176645

Lot number

P6L0359X

Product problems

  • Failure to Align
  • Failure to Align

Patient

72 YR

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

A GOOD FAITH EFFORT WILL BE MADE TO OBTAIN THE APPLICABLE INFORMATION RELEVANT TO THE REPORT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem

ACCORDING TO THE REPORTER, PRIOR TO THE LAP CHOLECYSTECTOMY PROCEDURE, THE DEVICE TIPS WERE MALFORMED AND NOT MEETING FLUSH. TO COMPLETE THE PROCEDURE THEY USED ANOTHER DEVICE. NO PATIENT INJURY HAS BEEN NOTED. THE DEVICE IS EXPECTED TO BE RETURNED FOR EVALUATION.

Additional Manufacturer Narrative

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