ENDO GRASP

Additional Manufacturer Narrative

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem

ACCORDING TO THE REPORTER, AFTER DISSECTING ON LAPAROSCOPIC PARAESOPHAGEAL HERNIA REPAIR, THE GRASPER WAS USED TO GO AROUND THE ESOPHAGUS WHEN THE PRODUCT SIMPLY FELL APART. THE PORTION THAT BROKE WAS RETRIEVED WITH A GRASPER AND OPENED A NEW ONE. THERE WAS NO PATIENT INJURY.

Additional Manufacturer Narrative

EVALUATION SUMMARY: POST MARKET VIGILANCE (PMV) LED AN EVALUATION OF ONE DEVICE. THE VISUAL INSPECTION OF THE RETURNED PRODUCT NOTED THAT THE PLASTIC CABLE SHEATH HAD SHEARING DAMAGE AND WAS PARTIALLY DISENGAGED. A FUNCTIONAL EVALUATION FOUND THAT JAW ROTATION WORKED WITHOUT DIFFICULTY. RELEASE LEVER AND JAW TOGGLE FUNCTIONED PROPERLY. RATCHET BUTTON FUNCTIONED PROPERLY. JAW ARTICULATION DID NOT FUNCTION PROPERLY BECAUSE OF THE DAMAGED SHEATH. RECORDS FROM EACH MANUFACTURING LOT ARE THOROUGHLY REVIEWED TO ENSURE THAT PRODUCTS ARE RELEASED MEETING ALL QUALITY RELEASE SPECIFICATIONS AT THE TIME OF MANUFACTURE. REPLICATION OF THE REPORTED CONDITION MAY OCCUR WHERE AN EXCESSIVE FORCE OR LEVERAGE IS APPLIED TO THE DEVICE WHILE RETRACTING THE CLEVIS ASSEMBLY AND THE CLEVIS BOOT IS SUBSEQUENTLY DAMAGED. THIS SUBSEQUENT DAMAGE MAY RESULT IN IMPROPER RETRACTION AND DEPLOYMENT OF THE JAWS DURING ARTICULATION AND MAY CAUSE SHEARING OF THE PLASTIC CABLE SHEATH. THE ROOT CAUSE OF THE OBSERVED DAMAGE WAS FOUND TO BE DUE TO THE DEVICE NOT BEING USED AS INTENDED WHICH CAUSED OR CONTRIBUTED TO THE REPORTED CONDITION. NO FURTHER ACTIONS HAVE BEEN DEEMED NECESSARY AT THIS TIME. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.