FDA Adverse Event
Malfunction
Summary report: N
ATRAUMATIC GRASPER
MDR report key: 152016
·
Received December 10, 1997
Report
- Report Number
- 1946801-1997-00005
- Event Type
- Malfunction
- Date Received
- December 10, 1997
- Date of Event
- April 11, 1997
- Report Date
- April 15, 1997
- Manufacturer
- ACUFEX MICROSURGICAL, INC.
- Product Code
- GCJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
CUSTOMER REPORTS, DAVIS AND GECK GRASPER BEING USED TO GRASP THE GALL BLADDER IN A LAPAROSCOPIC PROCEDURE. THE TIP BROKE OFF. X-RAY WAS REQUIRED TO LOCATE THE BROKEN TIP. THE TIP WAS RETRIEVED LAPAROSCOPICALLY WITH NO INJURY TO THE PT. THE SURGERY WAS DELAYED FOR APPROX THIRTY MINUTES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ATRAUMATIC GRASPER | GRASPER | GCJ | ACUFEX MICROSURGICAL, INC. | NA | 888053 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR |