Catalog Number 26-1221 |
Device Problem
Failure to Auto Stop (2938)
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Patient Problems
Contusion (1787); Tissue Damage (2104)
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Event Date 04/27/2017 |
Event Type
Injury
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Manufacturer Narrative
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Udi: (b)(4).Upon completion of the investigation a follow up report will be filed.
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Event Description
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As reported by the ous affiliate, a perforator did not release."the 1st hole: the operator felt that the perforator sinks too much and he stopped the perforation.The 2nd hole: the perforator did not disengage and pierced the dura mater leading to a cerebral contusion.Patient's life was endangered.Cerebral contusion, dura mater repair with a dura mater patch.".
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Manufacturer Narrative
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The affiliate was contacted regarding product return; however, the product was not returned for evaluation.As such it is not possible to evaluate the product and determine the root cause of this complaint.We will continue to monitor for this or similar complaints for this product code.A review of the device history records did not indicate any anomalies during the manufacturing process.At this time this complaint is considered to be closed, should the product be returned at a later date this complaint will be re-opened and an investigation will be performed.
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Manufacturer Narrative
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Perforator was returned and evaluated: visually inspected utilizing naked eye.No anomalies were observed.Unit was found to performed as intended.Unit completed testing (5 holes) and was found to performed as intended.Complaint could not be verified.Unit was found to meet all acceptance criteria.Based on the results of this investigation no further action is required.Trends will be monitored for this and similar complaints.At the present time this complaint is closed.
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Search Alerts/Recalls
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