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MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2008-02-11 for * manufactured by Tontarra Medizintechnik Gmbh.

Event Text Entries

[7952048] Event description: as we were informed by the distributor, the end of the draw wire near the hinge joint broke 30 minutes after start of a laparoscopic abdominal hysterectomy. There was no pt injury reported. The instrument in question was thoroughly checked by general mgr, senior surgical instrument engineer and quality mgmt representative: the instrument was manufactured with work order in a lot of 10 pcs. In 11/04 and delivered to the distributor on november 25th, 2004. We are able to trace back delivery until july 4th, 2002. Since then we have delivered a lot of pcs to the distributor without receiving a complaint. The production documents prove that the instrument was manufactured in accordance with the given production specifications and that no material defect or defect in manufacturing caused the problem. The instrument was inspected visually and we noticed that the shanks of the handle are extensively bent. [see scanned pages]. As requested by the hosp, we checked the instrument as to its completeness, whether any parts are missing and might probably have fallen inside the pt. We are able to confirm that no parts are missing. Conclusion: based on above findings, we assume that the draw wire broke because too much force (overstressing) was used via the handle. Since this evaluation indicates no defect of mateiral, no defect in design or any defect in manufacturing, we feel that no corrective measure is to be taken on our part. The user of the instrument should be informed that not too much force should be applied to the handle. This incident is classified as being not security relevant as per the guideline of the european union; and is also not subject to be reported since we had no info that pt injury was implicated.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9680515-2008-00001
MDR Report Key1009900
Report Source08
Date Received2008-02-11
Date Mfgr Received2008-01-29
Device Manufacturer Date2004-11-01
Date Added to Maude2008-03-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location0
Manufacturer ContactTONTARRA
Manufacturer StreetDAIMLER STRASSE 15
Manufacturer CityWURMLINGEN 78573
Manufacturer CountryGM
Manufacturer Postal78573
Manufacturer Phone461965760
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name*
Product CodeHCZ
Date Received2008-02-11
Device Eval'ed by MfgrY
Implant FlagN
Device Sequence No1
Device Event Key977496
ManufacturerTONTARRA MEDIZINTECHNIK GMBH
Manufacturer AddressDAIMLERSTRASSE 15 WURMLINGEN GM


Patients

Patient NumberTreatmentOutcomeDate
10 2008-02-11

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