MAUDE Adverse Event Report: UNITED STATES ENDOSCOPY GROUP, INC. RAPTOR GRASPING DEVICE - MINI

Model Number	00711178
Medical Device Problem Code	Difficult to Open or Close (2921)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	10/19/2023
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Steris became aware of this event on december 18, 2023 through our periodic review of the maude database.Upon review of the maude report there was no customer contact information.Without customer contact information additional information could not be obtained and the device could not be requested for return.Without the return of the complaint device, the exact cause of the reported issue cannot be determined.The instructions for use states, "read the entire instructions for use and familiarize yourself with the device.Open the package and remove the device.Remove the protector from the device's distal end and uncoil the entire device.Visually inspect the device for damage.Drape the catheter in a "u" shaped configuration.Actuate the device by moving the slider on the handle back and forth to confirm that the grasping jaws open and close smoothly.If the unit does not function properly, or there is evidence of damage (e.G.Bends, kinks, misshapen jaws, misaligned jaws, exposed wires) do not use this product and contact your local product specialist.Do not use excessive force on the handle and do not coil the catheter outside of the endoscope.Excessive force or coiling may damage the device or damage the endoscope and may result in accidental injury to the patient or clinician.The following conditions may cause the device to function improperly: advancing the handle to the open position with too much speed or force.Attempting to pass or open the device in an extremely articulated endoscope.Attempting to actuate the device in an extremely coiled position.Actuating the device when the handle is at an acute angle in relation to the sheath." the complaint log was reviewed, and this is the only reported complaint for this lot of products.This is considered an isolated event.A follow-up mdr will be submitted should additional information become available.No additional issues have been reported.
Event or Problem Description
The user facility reported via user facility maude report that during a patient procedure their raptor grasping device mini would not open at the jaw while being placed through the patient's airway to move a stent.The user tried to open the device outside of the patient but was unsuccessful.No report of injury.

• Brand Name: RAPTOR GRASPING DEVICE - MINI
• Common Device Name: GRASPING DEVICE
• Manufacturer (Section D): UNITED STATES ENDOSCOPY GROUP, INC.; 5976 heisley road; mentor OH 44060
• Manufacturer (Section G): UNITED STATES ENDOSCOPY GROUP, INC.; 5976 heisley road; mentor OH 44060
• Manufacturer Contact: coletta cohara ; 5976 heisley road; mentor, OH 44060 ; 4403586251
• MDR Report Key: 18531472
• Report Number: 1528319-2024-00005
• Device Sequence Number: 6545050
• Product Code: OCZ
• UDI-Device Identifier: 00724995183660
• UDI-Public: 00724995183660
• Combination Product (Y/N): N
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 01/17/2024

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
• Operator of Device: Health Professional
• Device Model Number: 00711178
• Device Catalogue Number: 00711178
• Device Lot Number: 5791763
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 12/18/2023
• Initial Report FDA Received Date: 01/17/2024
• Was Device Evaluated by Manufacturer? (Y/N): Device Not Returned to Manufacturer
• Date Device Manufactured: 06/05/2023
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown