inforMED
MalfunctionHYA

TC WIRE HOLDING FORCEPS LAT-JAW 170MM

Received Apr 23, 2019 · Event occurred Apr 3, 2019

Report 9610612-2019-00293 · MDR key 8541699

Device

Generic name

General Surgical Instruments

Manufacturer

Aesculap Ag

Model number

LX176R

Catalog number

LX176R

Lot number

4510089589

Product problems

  • Crack
  • Crack

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

AESCULAP INC. (IMPORTER, REGISTRATION NO. 2916714) IS SUBMITTING THIS REPORT ON BEHALF OF AESCULAP AG (MANUFACTURER, REGISTRATION NO. 9610612). EXEMPTION NUMBER: E2014018. MANUFACTURING SITE EVALUATION: INVESTIGATION ON-GOING. ADDITIONAL INFORMATION / INVESTIGATION RESULTS WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS AN ISSUE WITH THE TC WIRE HOLDING FORCEPS. THE CUSTOMER STATED THAT TWO PRODUCTS WERE RECEIVED AND REJECTED. THE CRACKS WERE IDENTIFIED AT THE FACILITY UPON RECEIPT AND THE FORCEPS WERE NOT USED; A PICTURE REVEALED FRACTURES ON THE INSERTS. THERE WAS NO PATIENT INVOLVEMENT OR PROCEDURE.