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Model Number 176630 |
Device Problems
Break (1069); Detachment of Device or Device Component (2907)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 02/12/2024 |
Event Type
malfunction
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Manufacturer Narrative
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D10 concomitant product: 176630, 176630 endoclip iii 5mm applier (lot#j3g2100y).Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Event Description
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According to the reporter, during a laparoscopic colectomy procedure, when preparing the device, the rotation knob for the first one was disconnected, and the counter was not displayed for the second clip applier.A new product was used to resolve the issue.There was no patient injury.
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Search Alerts/Recalls
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