APPLIED MEDICAL RESOURCES CTB73, 12X100 KII SH BLD ZTHR 6/BX; LAPAROSCOPE, GENERAL & PLASTIC SURGERY
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Model Number CTB73 |
Device Problem
Retraction Problem (1536)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Type
malfunction
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Manufacturer Narrative
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The event unit is anticipated to return to applied medical for evaluation.A follow-up report will be sent upon completion of investigation.
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Event Description
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Procedure performed: unknown.Event description: limited information available when reported.Received a trocar that failed to disengage.Additional information received via email on 10jul2019 from applied medical account mgr "[name] did get back to me on the preliminary questions i asked.No patient injury or illness occurred.Surgeon: [name].Another device was used with no problem.( i asked for clarification on this, brand, item #, lot #) the device was kept." intervention: another device was used with no problem.Patient status: no patient injury or illness occurred.
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Event Description
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Procedure performed: unknown.Event description: limited information available when reported.Received a trocar that failed to disengage.Additional information received via email on 10jul2019 from applied medical account mgr: "no patient injury or illness occurred.Surgeon: [name].Another device was used with no problem.( i asked for clarification on this, brand, item #, lot #) the device was kept." additional information received via email on 30jul2019 from applied medical account mgr: date of the event was may 20 2019.The procedure performed was a lap ap.Yes, the trocar was used on the patient.The blade did not engage.Report does not state at what point in the procedure the non-conformance was identified.Another device was used.We do not document lot numbers.Intervention: another device was used with no problem.Patient status: no patient injury or illness occurred.
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Manufacturer Narrative
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The event unit was returned to applied medical for evaluation.Testing was performed on the event unit, which confirmed that the blade was not able to engage.Based on the condition of the returned unit, it is likely that the reported event was caused by an incomplete press fit during the manufacturing process.The probability and criticality of harm resulting from this failure have been evaluated and were found to be at an acceptable level.Applied medical continuously seeks to improve the form, function and ease of use of its products.As part of this process, applied medical is currently researching possible process enhancements intended to further minimize the potential for this type of event to occur.The event was determined to be reportable based on the original description of the event.However, upon receipt of additional information and evaluation of the returned unit, the event is not reportable as it is unlikely to cause or contribute to death to serious injury.
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Search Alerts/Recalls
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