CODMAN SKULL TONG
Received Sep 22, 2006
Report 1226348-2006-00254 · MDR key 763944
Device
Generic name
Various Skull Tongs For Traction
Manufacturer
Codman & Shurtleff, Inc.Model number
NACatalog number
66-1025
Lot number
UNK
Product problems
- Device Issue
Patient
UNKNOWN
- Skull Fracture
Narrative
Description of Event or Problem
REP REPORTS THAT THE PRODUCT FRACTURED THE PATIENTS SKULL.
Additional Manufacturer Narrative
UPON COMPLETION OF THE INVESTIGATION IT WAS NOTED THAT THIS COMPLAINT WAS NON-VERIFIABLE. EVALUATION OF THE THREE SKULL TONGS RECEIVED INDICATED THAT ONE OF THE TONGS WAS ASSEMBLED CORRECTLY. THIS TONG HAS A SPRING-LOADED POINT (SCREW) AND A SOLID POINT (SCREW) IN PLACE. THE OTHER TWO TONGS HAVE TWO SOLID POINT SCREWS (1 TONG) AND 2 SPRING LOADED SCREWS (1 TONG). IT APPEARS THAT THE INSTRUMENTS HAVE BEEN RE-ASSEMBLED INCORRECTLY. INCORRECT ASSEMBLY MAY CONTRIBUTE TO POOR INSTRUMENT FUNCTION. THESE INSTRUMENTS ARE INSPECTED DURING THE MANUFACTURING PROCESS, INCORRECT ASSEMBLY WOULD HAVE BEEN DETECTED DURING INSPECTION. THERE WERE NO METALLURGIC DEFECTS SUCH AS CORROSION ON THE METAL SURFACES. ALL SCREWS DEMONSTRATED WELL FORMED THREADS AND WERE FULLY FUNCTIONAL. THIS COMPLAINT IS ASSOCIATED WITH IMPROPER ASSEMBLY IN THE CLINICAL SETTING AND IS NOT ATTRIBUTED TO MANUFACTURING PROCESSES. CORRECTIVE ACTION IS NOT DEEMED NECESSARY BASED ON THE ANALYSIS RESULTS. TRENDS WILL BE MONITORED FOR THIS AND/OR SMALLER COMPLAINTS. AT THE PRESENT TIME THIS COMPLAINT IS CONSIDERED CLOSED.