inforMED
MalfunctionFHM

PREMIUM MULTIFIRE TA

Received Aug 23, 2017 · Event occurred Mar 30, 2017

Report 2647580-2017-06211 · MDR key 6813988

Device

Generic name

Apparatus, Suturing, Stomach And Intestinal

Model number

010315-

Catalog number

010315-

Lot number

UNKNOWN

Product problems

  • Mechanical Jam
  • Mechanical Jam

Patient

Not reported

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

Narrative

Description of Event or Problem

ACCORDING TO THE REPORTER: OCCURRED DURING A LUNG TRANSPLANT. THE STAPLER JAMMED AFTER ONE USE. THE STAPLER CARTRIDGE WOULD NOT REMOVE FROM THE DEVICE. THE CARTRIDGE WAS NOT ABLE TO BE REMOVED OR LOADED INTO THE HANDLE. TO RESOLVE THE ISSUE, A NEW STAPLER WAS USED. THERE WAS NO PATIENT INJURY. NO MEDICAL INTERVENTION WAS REQUIRED. PATIENT STATUS IS OKAY.