FDA Adverse Event
Injury
Summary report: N
BIOPSY FORCEPS, 7 FR., SEMIFLEXIBLE
MDR report key: 23852077
·
Received December 19, 2025
Report
- Report Number
- 9610773-2025-08369
- Event Type
- Injury
- Date Received
- December 19, 2025
- Date of Event
- September 24, 2025
- Report Date
- December 19, 2025
- Manufacturer
- OLYMPUS WINTER & IBE GMBH
- Product Code
- NWW
- UDI-DI
- 04042761006958
- PMA / PMN Number
- 510(K) EXEMP
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETED OR IF ADDITIONAL INFORMATION BECOMES AVAILABLE.
Description of Event or Problem · 0
IT WAS REPORTED THAT FIVE BIOPSY FORCEPS WERE DAMAGED ALL DUE TO THE FRACTURE OF THE FIXING PINS OF THE FORCEPS HEAD DURING AN UNSPECIFIED PROCEDURE. THE FIXING PIN OF THE FORCEPS HEAD FELL INTO THE PATIENT'S UTERINE CAVITY. THE FALLEN PART WAS RETRIEVED. THERE WERE NO REPORTS OF PATIENT HARM. THE REQUESTED ADDITIONAL INFORMATION FROM THE CUSTOMER IS CURRENTLY PENDING. THIS IS REPORT 3 OF 5.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 238565 | BIOPSY FORCEPS, 7 FR., SEMIFLEXIBLE | A4832 | NWW | OLYMPUS WINTER & IBE GMBH | A4832 | 04042761006958 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |