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 |