OLYMPUS WINTER & IBE GMBH GRASPING FORCEPS, 5 FR., SEMI-FLEXIBLE, STANDARD; HAND INSTRUMENTS, STANDARD (WITHOUT CURRENT)
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Model Number A2500 |
Device Problems
Break (1069); Fracture (1260); Material Fragmentation (1261); Mechanical Problem (1384)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 09/14/2022 |
Event Type
malfunction
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Event Description
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Olympus was informed that during an unspecified therapeutic procedure, when the surgeon used the grasping forceps to grab a ureteral stone, the jaws at the distal end of the grasping forceps broke and fragments fell into the patient.However, no fragments remained inside the patient since they were reportedly retrieved.The intended procedure was completed using another similar device and there was no report about an adverse event or patient injury.
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Manufacturer Narrative
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The suspect medical device has been returned to olympus for evaluation/investigation.However, the evaluation/investigation is still ongoing.Therefore, the exact cause of the user's experience and the reported phenomenons not yet been determined and is being judged as unknown.However, once the evaluation/investigation is completed or additional significant information becomes available, this report will be updated.
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Manufacturer Narrative
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The suspect medical device was returned to the manufacturer for evaluation/investigation.The evaluation/investigation confirmed that the jaws at the distal end of the grasping forceps are completely broken off and minor damage was found at the basis of the jaws.Also, the transmission wire was found bent.These damages were caused by too much mechanical force when grasping the stones.Furthermore, the investigation found corrosion at both ends of the transmission wire, which was caused by incorrect reprocessing.Thus, this event/incident was attributed to use error.A material or quality problem can be excluded since a manufacturing and quality control review was performed for the affected lot number of the grasping forceps without showing any abnormalities.The case will be closed on olympus side with no further actions and the user will be informed about the investigation results.
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