inforMED
MalfunctionGDO

CLIP APPLICATOR, 10 X 330 MM, FOR CLIPS

Received Jan 30, 2019 · Event occurred Dec 10, 2018

Report 8010257-2019-00001 · MDR key 8288103

Device

Generic name

Clip Applicator

Model number

H30-135-883E

Lot number

60234

Product problems

  • Device Handling Problem
  • Device Handling Problem

Patient

Not reported

  • Perforation of Vessels
  • Perforation of Vessels

Narrative

Description of Event or Problem

THE USER REPORTED THAT WHILE USING CLIP APPLICATOR, THERE WAS AN INCIDENT OF A BLOOD VESSEL BEING CUT WHILE TRYING TO APPLY A CLIP. ANOTHER INCIDENT HAPPENED WHEN CYSTIC DUCT WAS CUT.