inforMED
MalfunctionDWQ

TRIVEX SYSTEM RESECTOR HANDPIECE

Received Oct 30, 2018 · Event occurred Sep 30, 2018

Report 1220948-2018-00092 · MDR key 8021530

Device

Generic name

Handpiece

Catalog number

7210387

Product problems

  • Failure to Conduct
  • Failure to Conduct

Patient

Not reported

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

WE HAVE RECEIVED THE DEVICE FOR EVALUATION. WE OBSERVED THAT THE RUN BUTTON AND THE HERMETIC HEADER ASSEMBLY HAD BEEN REMOVED FROM THE BEZEL AND HOUSING. ALL OF THE WIRES THAT CONNECT THE MOTOR AND OTHER COMPONENTS TO THE ENDBELL CONNECTOR PINS HAD BEEN DISCONNECTED. BASED ON THE CONDITION THE DEVICE WAS RECEIVED, IT IS LIKELY THE DEVICE WAS MANIPULATED WITH SOME ATTEMPT TO REPAIR. THE RESECTOR WOULD NOT ROTATE AND THE SURGEON WOULD NOT BE ABLE TO USE THIS DEVICE FOR THE PHLEBECTOMY PROCEDURE. BASED ON THE LIMITED AVAILABLE INFORMATION WE HAVE AT THIS TIME, WE ARE REPORTING THIS INCIDENT AS WE DO NOT HAVE ADEQUATE INFORMATION ABOUT HOW THE DEVICE WAS HANDLED AFTER THE EVENT AT THE USER FACILITY. THERE WAS NO INJURY TO THE PATIENT AS THE RESULT OF THIS INCIDENT SINCE THE ISSUE WAS DETECTED DURING PRE-USE CHECK. THE PROCEDURE WAS COMPLETED BY STAB PHLEBECTOMY PROCEDURE SINCE THEY DO NOT HAVE ANY OTHER HANDPIECES IN STOCK.

Description of Event or Problem

DURING PRE-USE CHECK, THE BLADES OF THE RESECTOR DID NOT SPIN.