FDA Adverse Event Malfunction Summary report: N

OCHSNER FCPS 8 STR SATIN

MDR report key: 17804217 · Received September 22, 2023

Report

Report Number
3014334038-2023-00157
Event Type
Malfunction
Date Received
September 22, 2023
Date of Event
August 30, 2023
Report Date
October 19, 2023
Manufacturer
INTEGRA LIFESCIENCES MANSFIELD
Product Code
HRQ
UDI-DI
10381780023845
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE OCHSNER FCPS 8 STR SATIN (106220) WAS NOT RETURNED FOR EVALUATION AFTER THREE GOOD FAITH ATTEMPTS (GFES) WERE MADE. LOT NUMBER INFORMATION WAS PROVIDED; DEVICE HISTORY RECORD (DHR) WAS REVIEWED, AND NO ABNORMALITIES RELATED TO THE REPORTED ISSUE WERE IDENTIFIED. A DEFINITIVE ROOT CAUSE OF THE REPORTED ISSUE COULD NOT BE DETERMINED. HOWEVER, A PROBABLE ROOT CAUSE OF THE DEVICE NOT STAYING LOCKED MAY BE THE RESULT OF MISALIGNED RATCHETS DUE TO WEAR OR ENVIRONMENTAL DAMAGE. IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE IN THE FUTURE, THIS COMPLAINT WILL BE REOPENED, AND THE RESPECTIVE EVALUATION PERFORMED. TRENDS WILL BE MONITORED FOR THIS AND SIMILAR ISSUES. AT PRESENT, WE CONSIDER THIS COMPLAINT TO BE CLOSED.

Additional Manufacturer Narrative · 0

AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFORMATION. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

N/A

Description of Event or Problem · 0

IT WAS REPORTED THAT THE RATCHET SYSTEM/OCHSNER FORCEPS 8 STR SATIN (106220) DOES NOT STAY LOCKED; IT POPS OPEN BY THE SLIGHTEST TOUCH OR MOVEMENT. DURING OBSTETRICIAN GYNECOLOGICAL CHILDBIRTH, THE INSTRUMENT WAS USED TO CLAMP THE CORD ON THE BABY. IT UNCLAMPED WITH HARDLY TOUCHING THE INSTRUMENT OR SETTING IT DOWN. IT WAS REPORTED THAT THERE WAS NO PATIENT INJURY. NO SURGICAL DELAY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1673827 OCHSNER FCPS 8 STR SATIN N/A HRQ INTEGRA LIFESCIENCES MANSFIELD AF2111 10381780023845

Patients

Seq Age Sex Outcome Treatment
1 Unknown