inforMED
MalfunctionGET

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

Model number

174233

Catalog 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.