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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TELEFLEX MEDICAL PU DP-40K DISP PUNCH 4.0MM; INSTRUMENTS, SURGICAL, CARDIOV

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TELEFLEX MEDICAL PU DP-40K DISP PUNCH 4.0MM; INSTRUMENTS, SURGICAL, CARDIOV Back to Search Results
Catalog Number DP-40K
Device Problem Physical Resistance/Sticking (4012)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/02/2024
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Medwatch 4400150000-2024-8006.Customer complaint cannot be confirmed based only on the information provided.To perform an evaluation and determine the source of defect reported it is necessary to analyze the sample involved on this complaint.A device history record review was performed, and no relevant findings were identified.An attempt to duplicate the failure mode was made but at the time there is no inventory of the involved product code available at the facility neither is being manufactured at the time.If defective sample becomes available at a later date this complaint will be updated as applicable.Corrected data: n/a.
 
Event Description
It was reported that the disposable aortic punch got stuck.As a result, a new device was used to complete the procedure.No patient harm or injury.
 
Manufacturer Narrative
Qn# (b)(4).One unit of catalog number dp-40k was received for analysis.Sample was not received in its original packaging.The sample has the tip stuck.The tip was released and tissue was observed on tip.A dim ensional inspection was not performed as part of this complaint evaluation since no functional issues were observed after the tip was cleaned.After the tip was cleaned, the punch was activated per work instruction and no jammed issue were observed, the punch moved freely.As additional test a piece of foam sheet was utilized to simulate the aorta.The foam sheet was cut to simulate the incision in the aorta.The punch tip was insert through the incision.The punch was actuated by compressing the handle and top cap together.The punch was removed slowly from incision site.The handle was slowly release to remove the foam sheet residues from the punch.No issues were observed during this test.A device history record review was performed on the device with no evidence to suggest a manufacturing related root cause.The product ifu contains some warnings about the care and proper use of product.Like "remove the excised tissue before additional openings are created.Excessive cleaning of the punch in between cuts is not necessary.Failure to remove excised tissue from the punch or excessive cleaning may cause punch jamming or incomplete cuts." customer complaint is confi rmed, the unit had the tip stuck.However, after clean the sample, no functional issues were observed.Therefore, it cannot be confirmed as a manufacturing defect.Additionally, it is unknown if the product was cleaned per ifu.Teleflex will continue to monitor and trend complaints of this nature.
 
Event Description
It was reported that the disposable aortic punch got stuck.As a result, a new device was used to complete the procedure.No patient harm or injury.
 
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Brand Name
PU DP-40K DISP PUNCH 4.0MM
Type of Device
INSTRUMENTS, SURGICAL, CARDIOV
Manufacturer (Section D)
TELEFLEX MEDICAL
morrisville NC
Manufacturer (Section G)
TELEFLEX MEDICAL
parque industrial finsa
nuevo laredo 88275
MX   88275
Manufacturer Contact
mariah mackinnon
3015 carrington mill blvd
morrisville, NC 27560
MDR Report Key18857410
MDR Text Key337137481
Report Number3004365956-2024-00022
Device Sequence Number1
Product Code DWS
UDI-Device Identifier14026704697943
UDI-Public14026704697943
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 02/26/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberDP-40K
Device Lot Number74G2301617
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 02/26/2024
Initial Date FDA Received03/07/2024
Supplement Dates Manufacturer Received04/09/2024
Supplement Dates FDA Received04/09/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/28/2023
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
N/A.; N/A.
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