FDA Adverse Event Malfunction Summary report: N

PRESTIEGE ATRAUMATIC GRASPER

MDR report key: 157851 · Received March 19, 1998

Report

Report Number
1921846-1998-00006
Event Type
Malfunction
Date Received
March 19, 1998
Report Date
February 17, 1998
Manufacturer
ACUFEX MICROSURGICAL, INC.
Product Code
GCJ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

CUSTOMER REPORTS, THAT THE GRASPER TIP FELL APART AS THE NURSE HANDED IT TO THE SURGEON, BEFORE STARTING A PROCEDURE. THE TIP DID NOT COME IN CONTACT WITH A PT. THERE WAS NO PT INJURY. THE NURSE ACKNOWLEDGED SHE SHOULD HAVE SENT THE GRASPER IN EARLIER FOR REPAIR WHEN IT WAS FOUND THE TEETH WERE LOOSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRESTIEGE ATRAUMATIC GRASPER LAPAROSCOPIC SURGICAL INSTRUMENT GCJ ACUFEX MICROSURGICAL, INC. NA 888054

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN