Catalog Number 261221 |
Device Problem
Dull, Blunt (2407)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 11/05/2021 |
Event Type
malfunction
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Event Description
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A physician reported a perforator did not cut the first hole.The procedure was completed with a replacement product and the event led to 5 minutes surgical delay.No patient injury.The perforator was used with an anspach drill.
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Manufacturer Narrative
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An investigation has been initiated based on the reported information.Upon completion of the investigation, a follow-up report will be submitted.
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Event Description
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N/a.
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Manufacturer Narrative
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Updated fields: d9, g3, g6, h2, h3, h10.Additional information received: the drill used with the perforator was electric.The perforator clicked in place with the drill.It is unknown if the recommended spring tests were performed between each burr hole.The surgeon feels the perforator was too dull.There was no patient consequences.
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Manufacturer Narrative
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The disposable perforator was returned for evaluation.Device history record (dhr) - there is no indication that the production process may have contributed to this complaint.All test results passed procedural specifications.Failure analysis - the perforator unit was inspected using the unaided eye.Unit was lightly soiled but showed no other anomalies.The "ifu" testing procedure was performed once the frozen inner/outer drill were freed using light pressure.Functional testing was performed using the same protocol it underwent at finished goods testing prior to release.The unit was found to perform as intended and fulfilled the acceptance criteria.The complaint could not be verified through failure analysis.The root cause is undetermined and was unable to be confirmed in the complaint evaluation.
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Event Description
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N/a.
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Search Alerts/Recalls
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