FDA Adverse Event
Malfunction
Summary report: N
KOGENT KOAG¿ DISPOSABLE SPETZLER¿ ILLUMINATED BIPOLAR FORCEPS, 8,0.5MM, STRAIGH
MDR report key: 18676740
·
Received February 9, 2024
Report
- Report Number
- 18676740
- Event Type
- Malfunction
- Date Received
- February 9, 2024
- Date of Event
- December 13, 2023
- Report Date
- December 15, 2023
- Manufacturer
- KATALYST SURGICAL LLC
- Product Code
- GEI
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE TIP OF A KOGENT KOAG¿ DISPOSABLE SPETZLER¿ ILLUMINATED BIPOLAR FORCEPS, 8",0.5MM, STRAIGHT BROKE OFF DURING A RIGHT FRONTAL CRANIOTOMY FOR TUMOR WITH ASLEEP MOTOR MAPPING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1242408 | KOGENT KOAG¿ DISPOSABLE SPETZLER¿ ILLUMINATED BIPOLAR FORCEPS, 8,0.5MM, STRAIGH | ELECTROSURGICAL, CUTTING COAGULATION ACCESSORIES | GEI | KATALYST SURGICAL LLC | DNL8-05S | M39679 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR | Male |