FDA Adverse Event
Malfunction
Summary report: N
GRIP-TIP URETHRAL SUTURE GUIDE
MDR report key: 91668
·
Received May 16, 1997
Report
- Report Number
- 91668
- Event Type
- Malfunction
- Date Received
- May 16, 1997
- Date of Event
- May 2, 1997
- Report Date
- May 8, 1997
- Manufacturer
- GREENWALD SURGICAL CO., INC.
- Product Code
- FBX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
INSTRUMENT NON-FUNCTIONAL. WHEN CLEANING INSTRUMENT, IT WAS NOT WORKING PROPERLY (UNABLE TO OPEN & CLOSE INSTRUMENT). UPON DISASSEMBLY, INSTRUMENT FOUND FULL OF BLOOD & TISSUE. DISASSEMBLED INSTRUMENT. MFR'S INSTRUCTIONS ARE THAT INSTRUMENT IS NOT TO BE DISASSEMBLED, EVEN FOR CLEANING. MFR'S INSTRUCTIONS FOLLOWED FOR CLEANING & DESPITE FOLLOWING THE INSTRUCTIONS, BLOOD & TISSUE REMAINED. UNABLE TO STERILIZE & CLEAN INSTRUMENT FOLLOWING INSTRUCTIONS FROM CO. NOW HAVE AN INSTRUMENT UNABLE TO USE. THIS INSTRUMENT WAS USED ON AT LEAST 17 PTS. HOSP ATTEMPTING TO LEARN OF ANY ILL EFFECTS/INFECTIONS PTS MIGHT HAVE SUSTAINED AS A RESULT OF THIS INSTRUMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | GRIP-TIP URETHRAL SUTURE GUIDE | GREENWALD PROSTATE SOUND | FBX | GREENWALD SURGICAL CO., INC. | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |