FDA Adverse Event Injury Summary report: N

AESCULAP

MDR report key: 22296729 · Received June 20, 2025

Report

Report Number
2916714-2025-00036
Event Type
Injury
Date Received
June 20, 2025
Report Date
August 12, 2025
Manufacturer
AESCULAP INC.
Product Code
GEA
UDI-DI
04046964573071
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE ADVERSE EVENT IS FILED UNDER AIC REFERENCE (B)(4) CC 400713732. INVESTIGATION ON-GOING. SHOULD RELEVANT ADDITIONAL INFORMATION / INVESTIGATION RESULTS BECOME AVAILABLE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

THE ADVERSE EVENT IS FILED UNDER AIC REFERENCE (B)(4). ONE (1) SAMPLE PROVIDED WAS RETURNED TO THE MANUFACTURING SITE FOR TECHNICAL EVALUATION. RESULTS OF THE INVESTIGATION DETERMINED VISUALLY THAT THE SUCTION TUBE SHOWED HEAVY SIGNS OF USE SUCH AS DEEP SCRATCHES AND DINGS. THE INSTRUMENT DID NOT HAVE THE PRODUCTION IDENTIFIERS THAT ARE NORMALLY MARKED ON THE INSTRUMENT. BASED ON THE INVESTIGATION FINDINGS, THE BREAK MOST LIKELY RESULTED FROM HANDLING. AS A RESULT, THE REPORTED FAILURE COULD NOT BE CONFIRMED TO BE A MANUFACTURING RELATED ISSUE.

Description of Event or Problem · 0

IT WAS REPORTED TO AESCULAP INC. THAT A FRAZIER SLOT SUCT TUBE ANG 7FR 180MM) PART # MF513R) WAS USED DURING AN ACDF C 4-5, 5-6, 6-7 SOMETIME IN (B)(6) 2024. ACCORDING TO THE COMPLAINANT THE DEVICE SUCTION BROKE AT WELD POINT WHERE SUCTION ATTACHES TO ADAPTER/LUER. REPORTEDLY THE PIECES WERE RETRIEVED AND AN X-RAY WAS PERFORMED TO CONFIRM ALL PIECES WERE REMOVED. A NEW SUCTION WAS OPENED AND USED TO COMPLETE THE PROCEDURE. A TEN-MINUTE DELAY TO THE PROCEDURE WAS ALSO REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
746997 AESCULAP CANNULA, SURGICAL, GENERAL & PLASTIC SURGERY GEA AESCULAP INC. MF513R 04046964573071

Patients

Seq Age Sex Outcome Treatment
1 64 YR Female Required Intervention