FDA Adverse Event
Malfunction
Summary report: N
15 MM LESIONHUNTER ROTATABLE NITINOL COLD SNARE
MDR report key: 20522940
·
Received October 23, 2024
Report
- Report Number
- MW5161508
- Event Type
- Malfunction
- Date Received
- October 23, 2024
- Date of Event
- October 11, 2024
- Report Date
- October 15, 2024
- Manufacturer
- MICRO-TECH (NANJING) CO., LTD.
- Product Code
- GAE
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- SC, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
15 MM LESION HUNTER ROTATABLE NITINOL COLD SNARE LOT: M240116301 // EXPIRATION: 10-15-2029. LESION HUNTER SIZE 15 MM SNARE SNAPPED IN HALF WHEN RETRIEVING POLYP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2578905 | 15 MM LESIONHUNTER ROTATABLE NITINOL COLD SNARE | SNARE, SURGICAL | GAE | MICRO-TECH (NANJING) CO., LTD. | M240116301 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Female | Other |