YASARGIL PERM MINI-CLIP STR NARR 3MM FE680K

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2019-02-13 for YASARGIL PERM MINI-CLIP STR NARR 3MM FE680K manufactured by Aesculap Ag.

Event Text Entries

[137719031] Manufacturing site evaluation: investigation - no product at hand. Batch history review - no batch number available. Conclusion and root cause - no product was available and therefore it was hardly possible to determine an exact conclusion or root cause. We assume that the cause of the failure is not product related. There is the possibility that the root cause of the problem is most probably usage related. Rationale - since these clips are subject to a 100% inspection of surface, geometry and closing force, a delivery condition with poor geometry is excluded. There is the possibility for damage due to incorrect handling. Possibly the clip had been removed from the sterile packaging with an application forceps from a competitor. Another reason could be that it was opened too wide with the forceps. Therefore, there is a restriction of the functionality and the possible change of the closing force. If further investigation is required, the product should be provided for examination. The instructions for use (ifu) also mentions points and caution for handling, as mentioned previously. Additional points from the ifu include the following: prior to each use, inspect the product for loose, bent, broken, cracked, worn, or fractured components; do not use the product if it is damaged or defective; immediately discard any damaged products; always treat the aneurysm clips with appropriate care; never open aneurysm clips with your fingers; avoid any manual and/or mechanical manipulation (e. G. With fingers or instruments) of the aneurysm clips.
Patient Sequence No: 1, Text Type: N, H10


[137719032] Prior to use during a craniotomy on (b)(6) 2019, the cerebrovascular mini clip would not close and hold position. The clip was not used. The incident did not cause or contribute to a serious injury and there was no delay in surgery. Further details on the procedure were not provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610612-2019-00082
MDR Report Key8337123
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2019-02-13
Date of Report2019-03-08
Date of Event2019-01-18
Date Facility Aware2019-02-27
Date Mfgr Received2019-02-27
Date Added to Maude2019-02-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMRS. NICOLE BROYLES
Manufacturer Street1 A RAUMANTIE
Manufacturer CityHELSINKI MO 00350
Manufacturer CountryFI
Manufacturer Postal00350
Manufacturer Phone3145515988
Manufacturer G1AESCULAP AG
Manufacturer StreetPO BOX 40
Manufacturer CityTUTTLINGEN, 78501
Manufacturer CountryGM
Manufacturer Postal Code78501
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameYASARGIL PERM MINI-CLIP STR NARR 3MM
Generic NameCRANIAL IMPLANTS
Product CodeHCH
Date Received2019-02-13
Model NumberFE680K
Catalog NumberFE680K
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerAESCULAP AG
Manufacturer AddressPO BOX 40 TUTTLINGEN, 78501 GM 78501


Patients

Patient NumberTreatmentOutcomeDate
10 2019-02-13

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