Qn#(b)(4).The customer returned one-unit ae05ml autoend05 ml for investigation.The returned sample was visually examined with and without magnification.Visual examination of the returned device revealed that the sample was returned with its rotation tab bent.No clip was in the first position in the channel.The sample appeared used as there is biological material present on the device.Functional inspection was performed on the returned sample by attempting to engage the trigger using hand pressure.Upon engagement of the trigger, an audible ratchet sound could be heard indicating that the internal ratchet ears are intact.No clip fired on the first attempt, but the next clip loaded into the correct position in the channel.On the next attempt, the next clip was unable to properly load into the jaws of the device.The sample was disassembled to inspect the internal components.Upon disassembly, it was found that the clips were out of position and stacking on one another.The clip stacking could prevent the clips from properly loading into the jaws and cause the rotation tab to get damaged/bent.Additionally, a tab on the channel box was found to be bent.The sample was received with 4 clips remaining, indicating that 11 clips were fired by the end user.A capa has been opened to further investigate this issue.Multiple root causes have been identified for clip stacking issues, centered around design and manufacturing related root causes.Additionally, user error can contribute to clip stacking issues.Corrective actions are being implemented via the capa.The ifu for this product, l06072, was reviewed as a part of this complaint investigation.The ifu for this product states, "mishandling of appliers may result in improper load and/or closure of the ligating clip." a capa has been opened to further investigate this issue.Multiple root causes have been identified for clip stacking issues, centered around design and manufacturing related root causes.Additionally, user error can contribute to clip stacking issues.Corrective actions are being implemented via the capa.The reported complaint of "clip(s) not loading properly" was confirmed based upon the sample received.The device was returned with its rotation tab and another tab on the channel box bent.The sample was returned with 4 clips remaining, indicating that 11 clips were fired by the end user.Upon functional inspection, it was found that the clips were out of position and stacking on one another which prevented the clips from loading properly into the jaws of the device.A capa has been opened to further investigate this issue.Multiple root causes have been identified for clip stacking issues, centered around design and manufacturing related root causes.Additionally, user error can contribute to clip stacking issues.Corrective actions are being implemented via the capa.
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