STERNAL CRIMPER 342004

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2015-06-22 for STERNAL CRIMPER 342004 manufactured by Teleflex Medical.

Event Text Entries

[17632423] Alleged event: the crimper does not open completely which inhibits the clips from being used to secure the sternum. Found during product demonstration. There was no patient involvement.
Patient Sequence No: 1, Text Type: D, B5


[17834478] Qn#(b)(4). The device sample has been returned to the manufacturer however the investigation report has not been submitted at the time of this report. The manufacturer will continue to monitor and trend related events.
Patient Sequence No: 1, Text Type: N, H10


[23951459] (b)(4). Device history record (dhr) review was conducted and the noted complaint resulted in a change of supplier and increased inspection requirements in august of 2009. (2) samples of 342004 lot xx8 (dec 2008) were received for the same issue. Both samples will be investigated together. No visual concerns were noted. The devices were functionally evaluated to observe the leaf spring rubbing on the attachment screw. This friction prevents free movement of the jaws to return to a fully open position. The jaws may still be used with a light pulling force on the handles. The device is still functional as-is. No further investigation is required. This issue was previously investigated and corrected in august of 2009. A previous incident resulted in a change of supplier and increased inspection requirements. There have been no instances since the corrective action was implemented. The customer will be issued replacements.
Patient Sequence No: 1, Text Type: N, H10


[23951460] Alleged event: the crimper does not open completely which inhibits the clips from being used to secure the sternum. Found during product demonstration. There was no patient involvement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1044475-2015-00214
MDR Report Key4859486
Report Source05,06,07
Date Received2015-06-22
Date of Report2015-05-28
Date of Event2015-05-15
Date Mfgr Received2015-07-22
Date Added to Maude2015-06-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactJASMINE BROWN
Manufacturer Street3015 CARRINGTON MILL BLVD
Manufacturer CityMORRISVILLE NC 27560
Manufacturer CountryUS
Manufacturer Postal27560
Manufacturer Phone9193614124
Manufacturer G1TELEFLEX MEDICAL
Manufacturer Street2917 WECK DRIVE
Manufacturer CityRESEARCH TRIANGLE PARK NC 27709
Manufacturer CountryUS
Manufacturer Postal Code27709
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTERNAL CRIMPER
Product CodeHBP
Date Received2015-06-22
Returned To Mfg2015-06-10
Catalog Number342004
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerTELEFLEX MEDICAL
Manufacturer AddressRESEARCH TRIANGLE PARK NC


Patients

Patient NumberTreatmentOutcomeDate
10 2015-06-22

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