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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TELEFLEX MEDICAL PU DP-36K DISP PUNCH 3.6MM; INSTRUMENTS, SURGICAL, CARDIOV

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TELEFLEX MEDICAL PU DP-36K DISP PUNCH 3.6MM; INSTRUMENTS, SURGICAL, CARDIOV Back to Search Results
Model Number IPN915269
Device Problem Failure to Cut (2587)
Patient Problem Insufficient Information (4580)
Event Date 03/05/2024
Event Type  malfunction  
Manufacturer Narrative
(b)(4).The complaint is confirmed, the punch has the tip stuck.However, it cannot be confirmed as a manufacturing defect since it is necessary to evaluate the sample involved on this complaint.A device history record review was performed on the device with no evidence to suggest a manufacturing related root cause.If defective sample becomes available at a later date this complaint will be updated as applicable.Teleflex will continue to monitor and trend on complaints of this nature.
 
Event Description
It was reported that during a renal transplant case performing an arterial anastomosis, "the punch got jammed.Scissors were used to cut around the punch to remove the device.The vessels were not calcified and the surgeon does not classify them as challenging cases".No report of patient harm or injury.The patient status is reported as "the patient is left with a densely fibrous anastomotic stricture which is difficult to manage".
 
Manufacturer Narrative
Qn# (b)(4).One unit of catalog number dp-36k was received for evaluation.Sample wasn't received in its original packaging.The sample was visually inspected founding the tip stuck inside of blade.After force to release the tip, it was noticed tissue in the tip of core and inside of punch.No dimensional issues were found in blade.A functional inspection was not performed as part of this complaint evaluation since the sample was received stuck and the punch was broken to release the core.A device history record review was performed, and no relevant findings were identified.Even though the unit was stuck there is not sufficient evidence to assure this is a manufacturing defect, and it is unknown if instructions and warnings per ifu were properly followed.No dimensional issues were found therefore it cannot be confirmed as a manufacturing defect.Complaints of this type will continue to be monitored via periodic reviews to evaluate if any trend exists.Other remarks: n/a.Corrected data: n/a.
 
Event Description
It was reported that during a renal transplant case performing an arterial anastomosis, "the punch got jammed.Scissors were used to cut around the punch to remove the device.The vessels were not calcified and the surgeon does not classify them as challenging cases".No report of patient harm or injury.The patient status is reported as "the patient is left with a densely fibrous anastomotic stricture which is difficult to manage".
 
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Brand Name
PU DP-36K DISP PUNCH 3.6MM
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 Key19027725
MDR Text Key339230658
Report Number3004365956-2024-00029
Device Sequence Number1
Product Code DWS
UDI-Device Identifier14026704697936
UDI-Public14026704697936
Combination Product (y/n)N
Reporter Country CodeUK
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,User Facility
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 03/05/2024
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 Model NumberIPN915269
Device Catalogue NumberDP-36K
Device Lot Number74E2300126
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received Not provided
Initial Date FDA Received04/02/2024
Supplement Dates Manufacturer Received05/13/2024
Supplement Dates FDA Received05/24/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured05/04/2023
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage A
Patient Sequence Number1
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