inforMED
MalfunctionEPY

SPECULUM MCO981D DEVEZE

Received Nov 15, 2017

Report 2523190-2017-00136 · MDR key 7032551

Device

Generic name

Pfm11

Catalog number

MCO981D

Lot number

2172172

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

INTEGRA HAS COMPLETED THEIR INTERNAL INVESTIGATION ON NOVEMBER 13, 2017. RESULTS: EVALUATION OF RETURNED DEVICE; THE LASER WELDING BETWEEN SPECULUM AND FRAME IS CRACKED. THERE IS NOT FRAGMENT. A THOROUGH OBSERVATION OF WELDING DID NOT HIGHLIGHTED WELDING DEFECT. DHR REVIEW; (ALWAYS INCLUDE DHR REVIEW, IF LOT NUMBER OR DEVICE NOT PROVIDED, EXPLAIN WHY). NO ANOMALIES THAT COULD BE ASSOCIATED WITH THE COMPLAINT WERE OBSERVED. COMPLAINTS HISTORY; NO ADVERSE TREND - FIRST OCCURRENCE OF THIS RISK FOR THIS DEVICE. CONCLUSION: THE ORIGIN OF THE CRACK CANNOT BE DETERMINED WITH CERTAINTY. THE MOST PROBABLE CAUSE IS AN EXCESSIVE CONSTRAINT ON THE SPECULUM.

Description of Event or Problem

IT WAS REPORTED THAT THE DEVICE SEAL BROKE. PRODUCT WAS IN CONTACT WITH THE PATIENT; HOWEVER, NO PATIENT INJURY REPORTED AND THE EVENT LEAD TO 45 MINUTES SURGICAL DELAY.