FDA Adverse Event Malfunction Summary report: N

TAP-KERRISON PUNCH

MDR report key: 3855625 · Received April 14, 2014

Report

Report Number
8010343-2014-00001
Event Type
Malfunction
Date Received
April 14, 2014
Date of Event
February 18, 2014
Report Date
April 11, 2014
Manufacturer
GEBRUEDER ZEPF MEDIZINTECHNIK GMBH & CO. KG
Product Code
LRY
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

CUSTOMER HAS COMPLAINED ABOUT TAP KERRISON PUNCHES. DURING AN OPERATION, THE PUSH-BUTTON ON AN INSTRUMENT SPRANG OFF AND FELL INTO THE PT. THE SPRING AND THE PUSH-BUTTON CAP FELL INTO THE PT. THESE WERE ABLE TO BE REMOVED WITHOUT ANY PROBLEMS. THE HOSPITAL HAS SIMPLY COMPLAINED ABOUT THE INSTRUMENTS AND HAS NOT INSTIGATED ANY FURTHER STEPS. AS A RESULT OF THE PUSH-BUTTON RELEASING, A RISK OF ENDANGERING THE PT RESULTED. AS A RESULT, THE COMPLAINT IS CLASSIFIED AS A NOTIFIABLE EVENT AND THE RISK ASSESSED AS HIGH. A FIELD SAFETY CORRECTIVE ACTION IS BEING PREPARED AND SUBMITTED TO THE AFFECTED MARKETS AND AUTHORITIES. INFO TO ALL CUSTOMERS WHO ORDER THESE ARTICLES. THE CUSTOMERS ARE REQUESTED TO CHECK ALL INSTRUMENTS RECEIVED WITH PUSH-BUTTONS. IN ADDITION, THE AFFECTED CUSTOMERS WILL RECEIVED EXACT INSTRUCTIONS ON HOW TO CARRY OUT THIS CHECK. THIS MUST BE CARRIED OUT WITHIN 3 MONTHS. A CONFIRMATION OF THE PLANNED CHECK WILL BE SENT TO THE CUSTOMER, WHO SHOULD CONFIRM WITHIN 5 DAYS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
228186 TAP-KERRISON PUNCH LAMINECTOMY PUNCH LRY GEBRUEDER ZEPF MEDIZINTECHNIK GMBH & CO. KG 13K359PH

Patients

Seq Age Sex Outcome Treatment
1