inforMED
MalfunctionFKA

VASCULAR PROBE

Received Jul 25, 2006 · Event occurred Jun 16, 2006

Report 2183620-2006-00015 · MDR key 745675

Device

Generic name

Vessel Dilator

Model number

745105

Catalog number

NA

Lot number

5714359-244554

Product problems

  • Break

Patient

UNKNOWN

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THE VASCULAR PROBE WAS RETURNED TO SYNOVIS SURGICAL INNOVATIONS FOR EVALUATION. THE FAILURE MODE OF THE DEVICE COULD NOT BE DUPLCATED DURING THE EVALUATION. THE DEVICE MALFUNCTION IS INCONCLUSIVE. IF ADDITIONAL PERTINENT INFORMATION BECOMES AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

PATIENT HAD A LUBAL PROCEDURE REQUIRING THE CREATION OF AN ANASTOMOSIS. THE SURGEON USED A VASCULAR PROBE TO PROVIDE STRUCTURE TO THE ANASTOMOSIS. AFTER CREATION OF THE ANASTOMOSIS, THE PROBE WAS REMOVED AND BROKE INTO 4 PIECES WHEN COMING THROUGH THE END OF THE TUBE. NO PATIENT HARM.