(b)(4).Per dhr the product auto endo5 ml lot # 73d1900713 was manufactured on 04/30/2019 a total of (b)(4) pieces.Lot was released on 05/10/2019.Dhr investigation did not show issues related to complaint.The customer returned one unit ae05ml autoend05 ml for investigation.The returned sample was visually examined with and without mag nification.Visual examination of the returned device revealed that the sample was returned with its trigger partially engaged.A clip was partially loaded incorrectly into the jaws and the next clip was out of position in the channel.The sample appears used as there is biological material present on the device.Reference file (b)(4) for investigation photos.First, the partially loaded clip was manually removed and the trigger cycle was completed.Functional inspection was then performed on the returned sample by attempting to engage the trigger using hand pressure.Upon engagement of the trigger, an audible ratchet sound could be heard indicating that the internal ratchet ears are intact.The next clip was unable to load properly as the feeder was to the side of the clip.The sample was disassembled to inspect the internal components.It was found that the clips were out of position and stacking on one another in the channel.The sample was received with 7 clips remaining in the channel, indicating that 8 clips were fired by the end user.The clip stacking prevented the clips from loading properly into the jaws.It could not be determined exactly how or when the clips became out of position.A capa has been opened to further investigate this issue.Reference file anp1900075020 for investigation photos.The ifu for this product, l06072, was reviewed as a part of this complaint investigation.The ifu for this product states, "mishandling of appliers may result in improper load and/or closure of the ligating clip." the reported complaint of "didn't fire clip properly on vessel" was confirmed based upon the sample received.One device was returned with a clip partially loaded incorrectly into the jaws and the next clip out of position in the channel.Upon functional inspection, the next clip was unable to load properly.The sample was disassembled and it was found that the clips were out of position and stacking on one another.The clip stacking prevented the clips from loading properly into the jaws.Although the reported complaint issue was confirmed based on functional testing, it could not be determined exactly how or when the clips became out of position.A capa has been opened to further investigate this issue.
|