ENDO GRASP
Received Jul 12, 2017 · Event occurred Jun 8, 2017
Report 2647580-2017-05687 · MDR key 6707684
Device
Generic name
Motor, Surgical Instrument, Pneumatic Powered
Manufacturer
Us Surgical Puerto RicoModel number
174233Catalog number
174233
Lot number
P4G0398X
Product problems
- Break
- Detachment Of Device Component
- Break
- Detachment Of Device Component
Patient
Not reported
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Additional Manufacturer Narrative
EVALUATION SUMMARY: POST MARKET VIGILANCE (PMV) LED AN EVALUATION OF DEVICE. THE VISUAL INSPECTION OF THE RETURNED PRODUCT NOTED THAT THE SHEATH WAS DAMAGED PROXIMAL TO THE JAWS. A REVIEW OF THE DEVICE HISTORY RECORD INDICATES THE PRODUCT WAS RELEASED MEETING ALL QUALITY RELEASE SPECIFICATIONS AT THE TIME OF MANUFACTURE. REPLICATION OF THE REPORTED CONDITION MAY OCCUR AS A RESULT OF EXCESSIVE MANIPULATION OF THE DEVICE. THE ROOT CAUSE OF THE OBSERVED DAMAGE WAS MISUSE OF THE PRODUCT WHICH WOULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED INCIDENT. A RELATIONSHIP BETWEEN THE DEVICE AND THE REPORTED INCIDENT OF BROKEN CLEVIS WAS CONFIRMED. NO ENHANCEMENTS OR IMPROVEMENTS WERE GENERATED FOR THE REPORTED CONDITION. SHOULD NEW INFORMATION BECOME AVAILABLE, THE FILE WILL BE RE-OPENED AND THE INVESTIGATION SUMMARY WILL BE AMENDED AS APPROPRIATE. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
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, DURING A LAPAROSCOPIC PROCEDURE, THE DEVICE COMPONENT FELL INTO THE CAVITY OF THE PATIENT. TRANSLATION NEEDED. TO COMPLETE THE PROCEDURE THEY CHANGED THE DEVICE. NO PATIENT INJURY NOTED.