COVIDIEN VERSAPORT PLUS V2 11MM TROCAR W/FIXATION CANNULA; LAPAROSCOPE, GENERAL & PLASTIC SURGERY
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Model Number 179095PF |
Device Problems
Dull, Blunt (2407); Failure to Cut (2587)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 01/27/2016 |
Event Type
malfunction
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Manufacturer Narrative
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(b)(4).
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Event Description
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According to the reporter, during a donor nephrectomy, at the first usage there were difficulties while entering to the abdomen and the device could not cut.There is no problem related cannula.Knife/cutter did not cut.The knife blade was dull.There was no injury to the patient.Surgical time extended 30 minutes or more due to the product problem? no.Describe any adverse event which occurred as the result of a delay in surgery, (i.E.An extension of the hospital stay, infection, etc.?) can you confirm that the device will be returned for evaluation? yes.Was the device reprocessed or re-sterilized prior to use? it was the first usage, there was no re-sterilized.
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Manufacturer Narrative
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(b)(4).Post market vigilance (pmv), concurrently with engineering, led an evaluation of ten versaport plus v2 11mm trocars with fixation cannula opened by the account.This evaluation was based on a technical review of all data received from the site, a pmv review of manufacturing records, a pmv review of complaint trends, engineering review of the photos and an evaluation of the returned device.The reported condition for this incident states difficult to penetrate, no cut and knife blade dull.Visual inspection noted the ten obturators were received heat damaged.The tops of the obturators were not seated properly.A trocar was received.Functionally, the condition of the instrument precludes functional testing.Visual inspection of the returned product confirmed the product did not meet quality release specifications that were tested regarding the reported conditions due to the heat damage and the reported condition was not confirmed.A review of the current historical complaint data reveals no trend for a device related failure for this condition.Based on the product analysis, the failure was not confirmed to be attributed to the reported event.Replication of the observed heat damage may occur if the instrument is subjected to excessive heat during a sterilization process.No enhancements or improvements were generated for the reported condition.Should new information become available, the file will be re-opened and the investigation summary amended as appropriate.
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