Catalog Number C-VH-4000 |
Device Problem
Device Operates Differently Than Expected (2913)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 04/20/2018 |
Event Type
malfunction
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Manufacturer Narrative
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(b)(4).A lot history record review was completed for the reported product lot number.There was no nonconformance recorded in the lot history.The device has been returned to the factory and is being evaluated.A supplemental report will be submitted when the evaluation is completed.
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Event Description
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The hospital reported that during an endoscopic vein harvesting procedure, vasoview hemopro 2 jaws would not completely close so cautery never activated.A replacement device was used to complete the procedure.The hospital did not report any patient effects.
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Manufacturer Narrative
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(b)(4).
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Event Description
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The hospital reported that during an endoscopic vein harvesting procedure, vasoview hemopro 2 jaws would not completely close so cautery never activated.A replacement device was used to complete the procedure.The hospital did not report any patient effects.
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Manufacturer Narrative
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(b)(4).The hp2 device was returned to the factory for evaluation.Signs of clinical usage and evidence of blood were observed.A visual inspection was conducted.Charred tissue and blood were observed on the jaws.Specks of blood were observed on the harvesting handle.A microscopic inspection determined that the heater wire was slightly bent at the center of the hot jaw.The wire remained in place at the tip and the base of the hot jaw.As per the instructions in instructions for use(ifu), the toggle was pushed to close the jaws to check the integrity of the jaws to align when closed.The jaws did not align with each other.A small gap remained between the two jaws.Due to the heater wire being slightly flexed, the jaws could not align when the toggle was pulled back to close the jaws.The bent heater wire acted as an obstruction for the jaws when they were tried to close.The dhr and shop floor paperwork were reviewed.No non-conformances were observed.The lot conformed to all the specifications and requirements.The vendor certifies that this device lot conforms to all applicable product specifications.Based on the return condition of the device and the evaluation results, the reported failure mode ¿mechanical issue; jaw; jaws did not match/up align¿ and analyzed failure "material twisted/bent; wire¿ were confirmed.Specific actions for the analyzed failure "material twisted/bent; wire¿are being maintained and documented under maquet's failure investigation report (fir) system.
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Event Description
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The hospital reported that during an endoscopic vein harvesting procedure, vasoview hemopro 2 jaws would not completely close so cautery never activated.A replacement device was used to complete the procedure.The hospital did not report any patient effects.
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Search Alerts/Recalls
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