Model Number C4130 |
Device Problem
Detachment of Device or Device Component (2907)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 07/31/2020 |
Event Type
malfunction
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Manufacturer Narrative
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Applied medical has received the incident device, and has been assigned to engineering for evaluation.A follow-up report will be sent upon completion of investigation.
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Event Description
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Type of procedure performed: vnotes hysterectomy+bilateral salpingectomy.[name] was doing a vnotes case, and towards the end of the case on the screen we noticed the grasper was scissoring.The grasper was removed and she continued the case with a reusable grasper from the tray.The patient was no harmed.[name] was not concerned during or after the case.It was the first time she had seen this with the applied medical grasper.Patient status: patient is fine and completely unaffected.Type of intervention: product was replaced with another.
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Manufacturer Narrative
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The event unit was returned to applied medical for evaluation.Visual inspection confirmed that grasper jaws were misaligned.Engineering also observed that the formed end of the rivet was coming out of place.Based on the condition of the returned unit, the reported event was caused by the formed end of the rivet that came out of place while the device was being used.The probability and criticality of harm resulting from this failure have been evaluated and were found to be at an acceptable level.Applied medical continuously seeks to improve the form, function and ease of use of its products.As part of this process, applied medical is currently researching possible enhancements intended to further minimize the potential for this type of event to occur.
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Event Description
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Type of procedure performed: vnotes hysterectomy+bilateral salpingectomy.[name] was doing a vnotes case and towards the end of the case on the screen we noticed the grasper was scissoring.The grasper was removed and she continued the case with a reusable grasper from the tray.The patient was no harmed.[name] was not concerned during or after the case.It was the first time she had seen this with the applied medical grasper.Patient status: patient is fine and completely unaffected.Type of intervention: product was replaced with another.
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Search Alerts/Recalls
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