Catalog Number 261221 |
Device Problem
Fail-Safe Did Not Operate (4046)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Type
malfunction
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Event Description
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A facility reported that 2 perforators (id 261221) of the same lot (7055886) were not disengaging.No patient injury reported.The procedure was completed with a replacement product available.An electric drill was used along with the perforators.It is unknown if the recommended spring tests were being performed between each burr hole.There was 90-degree angle of approach perpendicular as the "ifu" states.A perpendicular approach was maintained through the drilling process without rocking motion, and there was a constant downward pressure.
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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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Manufacturer Narrative
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The codman perforator (id 261221) 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 - instructions for use (ifu) testing procedure was performed with no observed anomalies.Functional testing was performed using the same protocol it underwent at finished goods testing prior to release and the unit was found to perform as intended and fulfilled the acceptance criteria.The complaint could not be verified through failure analysis root cause analysis- the root cause is undetermined and was unable to be confirmed in the complaint evaluation.However, a potential cause of failure include user misuse.
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Search Alerts/Recalls
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