FDA Adverse Event Death Summary report: N

RIB RETRACTOR

MDR report key: 24120 · Received July 5, 1995

Report

Report Number
24120
Event Type
Death
Date Received
July 5, 1995
Date of Event
January 8, 1995
Report Date
January 20, 1995
Manufacturer
WECK DIV. LINVATEC INC.
Product Code
GAD
Adverse Event
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

PT WAS IN EXTREMELY CRITICAL CONDITION AFTER STATUS POST MULTIPLE TRAUMA & CARDIAC ARREST IMMEDIATELY POST OP. RESUSCITATION INCLUDED OPENING THE CHEST FOR HEART MASSAGE & TO ASSESS FOR CARDIAC TAMPONADE. THE RIB RETRACTOR WAS USED AS A CONVENIENCE TO SEPARATE DURING SURGERY. DURING THIS PROCEDURE, THE RIB RETRACTOR GEAR MECHANISM FROZE & COULD NOT BE ADJUSTED. THE RIB RETRACTOR WAS REMOVED WITHOUT INTERRUPTION OF RESUSCITATION EFFORTS, & THE RIBS WERE EASILY SEPARATED MANUALLY. THE RIB RETRACTOR WAS IN THIS INSTANCE, NON-ESSENTIAL & WAS NOT A CONTRIBUTING FACTOR IN THE PT'S SUBSEQUENT UNSUCCESSFUL RESUSCITATION.DEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: CRITICAL CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY.NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, MECHANICAL TESTS PERFORMED, PERFORMANCE TESTS PERFORMED, VISUAL EXAMINATION. RESULTS OF EVALUATION: FOREIGN MATERIAL CONTAMINATION, INSUFFICIENT LUBRICATION, MATERIAL DEGRADATION/DETERIORATION, MECHANICAL PROBLEM. CONCLUSION: DEVICE FAILURE OCCURRED BUT NOT RELATED TO EVENT, DEVICE WAS OUT OF SPEC BUT THIS DOES NOT RELATE TO EVENT. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: NO. CORRECTIVE ACTIONS: DEVICE PERMANENTLY REMOVED FROM SERVICE, INSERVICED BY MANUFACTURER/DISTRIBUTOR REPRESENTATIVE. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RIB RETRACTOR RIB RETRACTOR GAD WECK DIV. LINVATEC INC.

Patients

Seq Age Sex Outcome Treatment
1 17 YR Death