FDA Adverse Event Malfunction Summary report: N

HOBBS MEDICAL POLYPECTOMY SNARE

MDR report key: 13455585 · Received February 4, 2022

Report

Report Number
1220592-2022-00001
Event Type
Malfunction
Date Received
February 4, 2022
Date of Event
December 7, 2021
Report Date
January 4, 2022
Manufacturer
HOBBS MEDICAL, INC.
Product Code
OCZ
PMA / PMN Number
K844074
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING THE THIRD USE OF THE SAME MICRO OVAL LOOP POLYPECTOMY SNARE DURING A POLYPECTOMY, THE SNARE WAS UNABLE TO CUT THROUGH THE POLYP USING CAUTERY. IT APPEARS THAT THE WHITE PORTION AT THE START OF THE SHEATH GETS TWISTED AND BUNCHES UP. THIS SEEMS TO MAKE THE LOOP OF THE SNARE UNABLE TO FULLY CLOSE AND SECURE AROUND THE POLYP THEREFORE MAKING IT HARDER CUT THROUGH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
588523 HOBBS MEDICAL POLYPECTOMY SNARE POLYPECTOMY SNARE OCZ HOBBS MEDICAL, INC. 4567OLY H02-20-093

Patients

Seq Age Sex Outcome Treatment
1 Unknown