FDA Adverse Event Malfunction Summary report: N

VARADY VEIN HOOK

MDR report key: 10232542 · Received July 6, 2020

Report

Report Number
10232542
Event Type
Malfunction
Date Received
July 6, 2020
Date of Event
June 24, 2020
Report Date
June 30, 2020
Manufacturer
AESCULAP IMPLANT SYSTEMS, LLC
Product Code
GAI
Product Problem
Yes
Report Source
User Facility report
Reporter Location
IA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

THE TIP OF THE MEDIUM CROCHET VEIN HOOK BROKE OFF INTO THE PATIENT ON FIRST PASS. STAFF SURGEON IMMEDIATELY AWARE AND LOOKED FOR PIECE AT THE SURGICAL SITE AND ON THE SURGICAL FIELD USING BOTH VISUAL INSPECTION AND VASCULAR ULTRASOUND INSPECTION. SURGICAL TEAM SEARCHED THE SURGICAL FIELD. CIRCULATOR SEARCHED THE OPERATING ROOM FLOOR VISUALLY AND WITH A MAGNET BROOM. THE TIP OF THE CROCHET VEIN HOOK WAS NOT LOCATED. SURGEON COMMENTED THAT SHE WOULD BE INFORMING THE PATIENT. THIS IS AT LEAST THE FOURTH PATIENT THAT THIS HAS HAPPENED TO AND PREVIOUS PATIENTS WE WERE ABLE TO FIND THE BROKEN TIP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
699261 VARADY VEIN HOOK STRIPPER, VEIN, REUSABLE GAI AESCULAP IMPLANT SYSTEMS, LLC

Patients

Seq Age Sex Outcome Treatment
1 16425 DA