Model Number PL404R |
Device Problem
Break (1069)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Type
malfunction
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Event Description
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It was reported that there was an issue with pl404r - needle holder straight 5 mm 370 mm.According to the complainant, two needle holders "broke again" this week.The previously reported complaint had noted "not grasping" as the failure mode.Patient harm was unknown.The adverse event / malfunction is filed under aag reference (b)(4).Associated medwatch reports: (b)(4) (9610612-2022-00297) pl404r and (b)(4) (9610612-2022-00298) pl404r.
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Manufacturer Narrative
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Manufacturing site evaluation: investigation on-going.Additional information / investigation results will be provided in a supplemental report.
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Manufacturer Narrative
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Additional information/correction: b5-patient harm.D9-date returned to manufacturer.H3-device evaluation.H4-production date.H6-codes.After review of the investigation and harm, the complaint was re-assessed and determined to no longer be reportable.Investigation results: visual investigation: during the interlock function test, the function was not given.The interlock shows extreme signs of wear.The chips of the abrasion can be found in the handle / mechanism as well as a lot of rust stains.Batch history review: due to the fact that neither an article number nor a lot number was provided, a review of the device history records must remain incomplete.The review of risk assessment revealed that the overall risk level (severity 1(5) x probability 2(5) of occurrence) according to din en iso 14971 is still acceptable.Explanation and rationale the error patterns with the extreme wear on the locking mechanism with chip abrasion as well as the rust traces in the handle on the mechanism are in all probability clear indications of a lack of maintenance in the form of oiling after reconditioning.Conclusion and measures / preventive measures: based upon the investigation results the root cause is most probably maintenance-related.Based upon the investigations results a capa is not necessary.
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Event Description
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Update: patient harm changed to no patient hazard.The malfunction is filed under aag reference (b)(4).Associated medwatch reports: (b)(4) (9610612-2022-00297) pl404r.(b)(4) (9610612-2022-00298) pl404r.
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Search Alerts/Recalls
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