inforMED
MalfunctionGET

ENDO DISSECT

Received Mar 24, 2020 · Event occurred Mar 5, 2020

Report 2647580-2020-01056 · MDR key 9872139

Device

Generic name

Motor, Surgical Instrument, Pneumatic Powered

Model number

174213

Catalog number

174213

Lot number

P8K1474X

Product problems

  • Break
  • Break

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

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. A FUNCTIONAL EVALUATION FOUND THAT: JAWS OF DEVICE OPENED AND CLOSED WITHOUT DIFFICULTY. DEVICE ROTATED WITHOUT DIFFICULTY. DISSECTING JAWS CUT TEST MEDIA WITHOUT DIFFICULTY. 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.

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, PRIOR TO USE, THE SHAFT SHELL OF THE TWO DEVICES HAD BEEN PEELED OFF. THERE WAS NO PATIENT INVOLVEMENT.