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Catalog Number 242268 |
Device Problems
Break (1069); Crack (1135)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 12/01/2023 |
Event Type
malfunction
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Manufacturer Narrative
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This report is being submitted in pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by mitek or its employees that the report constitutes an admission that the device, mitek, 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 medwatch, a follow-up medwatch will be filed as appropriate.Device was used for treatment, not diagnosis.H10 additional narrative: investigation summary the complaint device was received at the manufacturing site and evaluated.During the service evaluation the following defects were identified: outer tube damaged, needle outer tube dent(s).Outer tube damaged, distal tip shaver damage to distal tip.Optical system, optical components distal cover glass/negative damaged.Moisture, moisture in system per service reports, this complaint can be confirmed.The defective parts needs to be replaced to resolve the issues.The faulty parts was identified as the root cause for the device failure during the service evaluation.Additional complaint information monitoring for potential safety signals is conducted through complaint trending as part of post market surveillance.At this point in time, no corrective action is required, and no further action is warranted.Depuy mitek will continue to track any related complaints within this device family as a means of monitoring the extent with which this complaint is observed in the field.Device history review a manufacturing record evaluation was performed for the finished device serial number (b)(6) and no non-conformance was identified.
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Event Description
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It was reported by the sales rep that during a shoulder scope procedure performed on (b)(6) 2023 it was observed that the 4k c-mnt scp,4.0,30,167,mitek scope device had a crack in it.Another like device was used to complete the procedure.There were no adverse patient consequences nor surgical delay reported.During in-house engineering evaluation it was observed that the outer tube was damaged, the needle of the outer tube was dented distal tip shaver tip was damaged, optical components distal cover glass/negative was damaged, and there was moisture in the system.No additional information was provided.
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Search Alerts/Recalls
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