inforMED
MalfunctionFBO

INNER SHEATH ONLY

Received Jan 29, 2020 · Event occurred Dec 18, 2019

Report 9610617-2020-00013 · MDR key 9645088

Device

Generic name

Inner Sheath

Model number

27050CA

Lot number

UNKNOWN

Product problems

  • Material Fragmentation

Patient

56 YR

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

PER THE CUSTOMER, THE ITEM WILL NOT BE RETURNED FOR EVALUATION AT THIS TIME.

Description of Event or Problem

PER MEDWATCH REPORT, #MW5091907, RECEIVED ON 1/6/2020, DURING A TRANSURETHERAL RESECTION OF THE PROSTATE PROCEDURE, THE PHYSICIAN NOTICED THE GRAY TIP WAS FRAGMENTED. HE FOUND 3 PIECES IN THE PATIENTS BLADDER WHICH WERE RETRIEVED FROM THE PATIENT WITH A GRASPER. THE INSTRUMENT WAS EXCHANGED OUT AND THE PROCEDURE WAS COMPLETED WITH NO HARM TO THE PATIENT. THEY USED FLUOROSCOPY TO ENSURE NO ADDITIONAL PIECES WERE LEFT INSIDE THE PATIENT.