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Catalog Number XC200 |
Device Problem
Positioning Failure (1158)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 10/30/2023 |
Event Type
malfunction
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Event Description
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It was reported a patient underwent a laparoscopic total cystectomy on (b)(6) 2023 and an implantable clip was used.During procedure, clip could not be closed on the suture.Another device was used to complete the case.There were no adverse consequences to the patient.Additional information has been requested.
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Manufacturer Narrative
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Product complaint #: (b)(4).Additional information: h6 component code: g07002 - device not returned.Additional information provided: several clips would not close.Additional information has been requested and received.Attempts to obtain the device have been made.Please provide the applier product code and lot number? the applier code is ka200 and lot number is unknown.Please confirm if there is an issue with the applier? no.If yes, please create a product complaint and provide the respective reference number(s).N/a.What suture type and size was used? currently, unknown.When the event occurred, was the suture placed near the hinge of the clip? currently, unknown.Were you able to lock the clip closed on the suture? no.If yes, after it closed, was the clip holding securely fixed on the suture? n/a.Was the applier checked for damaged (jaws straight and aligned)? currently, unknown.If the clip did not close/hold on the suture, was the clip used in an application where the suture was under tension? currently, unknown.Please perform and document the follow up attempt for product return.We regularly contact with sale rep about the device returning.Additional information has been requested however not received.If further details are received at a later date a supplemental medwatch will be sent.Please provide quantity of clips that failed to hold during procedure? a review of the batch manufacturing records was conducted, and no related non-conformances were identified.Note: events reported via: mw# 2210968-2023-09342.The single complaint was reported with multiple events.There are no additional details regarding the additional events.This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by ethicon, or its employees that the report constitutes an admission that the product, ethicon, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
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Manufacturer Narrative
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Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by ethicon inc, or its employees that the report constitutes an admission that the product, ethicon inc or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.Additional information: h3 additional information was requested and the following was obtained: please provide quantity of clips that failed to hold during procedure? it is aboout 3 clips.H3 investigation summary: the product was returned for evaluation.Visual inspection and functional testing were conducted on the returned cartridge.Visual analysis of the returned sample determined that the xc200 cartridge was received with one foil and a reload with four clips loaded.However, one clip was moved inside of the cartridge and it was noted to be damaged; due to improper handling of the clip.The rest of the clips were accommodated in the reload and loaded on a test device and tested for functionality.Upon functional testing of the device, the instrument loaded, retained and deployed 3 clips as intended.Due to the condition of the sample, the reported complaint was confirmed by an external cause as improper handling.Ensure the tips of the applier are perpendicular to the surface of the cartridge.Insert the applier until it stops.Do not force the applier.It should enter and withdraw from the cartridge smoothly.Please reference the instruction for use for more information.As part of ethicon¿s quality process, all devices are manufactured, inspected, and released to approved specifications.
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