ENDO BABCOCK
Received Aug 29, 2017 · Event occurred Aug 1, 2017
Report 1219930-2017-06786 · MDR key 6828407
Device
Generic name
Motor, Surgical Instrument, Pneumatic Powered
Manufacturer
Us Surgical Puerto RicoModel number
174001Catalog number
174001
Lot number
P6L0126X
Product problems
- Break
- Break
Patient
Not reported
- 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, INTRA-OPERATIVELY, THE TIP OF THE DEVICE BROKE DURING THE PROCEDURE. NOTHING FELL INTO THE PATIENT CAVITY. ANOTHER SIMILAR DEVICE WAS USED IN ORDER TO COMPLETE THE CASE. THE PATIENT STATUS IS ALIVE WITH NO INJURY.
Additional Manufacturer Narrative
EVALUATION SUMMARY: POST MARKET VIGILANCE (PMV) LED AN EVALUATION OF THE DEVICE. THE VISUAL INSPECTION OF THE RETURNED PRODUCT NOTED THAT THE DISTAL END OF THE SHAFT WAS BROKEN PROXIMAL TO THE JAWS. RECORDS FROM EACH MANUFACTURING LOT ARE THOROUGHLY REVIEWED TO ENSURE THAT PRODUCTS ARE RELEASED MEETING ALL QUALITY RELEASE SPECIFICATIONS AT THE TIME OF MANUFACTURE. REPLICATION OF THE REPORTED CONDITION MAY BE DUE TO ROUGH HANDLING OF THE DEVICE. 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.