As reported (b)(6) 2016, a patient of unknown age and gender presented for a microwave procedure.During preparation for the procedure, when the sterile packaging was opened, it was noted the tip of the applicator probe was bent.The device was set aside and a new of the same device was used to successfully complete the procedure.There was no patient impact as the device did not come into contact with the patient.The reported disposable device has been returned to the manufacturer for evaluation.
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Returned for evaluation was one pmta accu2i long applicator.A visual examination of the device noted that the tip of the applicator was broken.The site of the break appears clean and occurs where the tip meets the shaft of the device.The internal ptfe insulation appears to be bent and drawn out, leaving a "tail" from the end of the shaft at the site of the fracture.This indicates the tip was bent, triggering the fracture.Functional testing could not be conducted due to the condition of the returned sample.The customer's reported complaint description of the tip fracture is confirmed.A review of the device history records was performed for the reported packaging and component lots for any deviations related to the reported defect of the complaint.The review confirms that the lots met all material, assembly, and performance specifications.Based on the device history review this event does not appear to be due to a manufacturing defect.A possible contributing factor could have been operational context; i.E.Probe placement into hard tissue or lateral forces on the applicator tip during placement or removal.The ifu states; "avoid placing lateral forces on the applicator tip during placement or removal and lateral forces on the applicator tip should be avoided both during insertion and removal.Failure to do so could result in damage to the microwave array, failure of the applicator and injury to the patient." a review of the angiodynamics complaint system noted no adverse trends for this complaint type and product family.This type of complaint will continue to be monitored for trends.(b)(4).
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