MOTOR POWER PLUS CONTROL UNIT 2307101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2019-02-14 for MOTOR POWER PLUS CONTROL UNIT 2307101 manufactured by Richard Wolf Gmbh.

Event Text Entries

[136191623] Device labeling was reviewed for patient code and device codes: relative or absolute contraindications may result from the general medical findings or in special cases in which the patient's risk for motor-driven tools is significantly increased. Ovaries, fallopian tubes, myomata and other structures must be devascularized and dissected before morcellation. The morcellator may not be used for: treatment of malignant tumours, treatment of vascularized tissue, preparation of tissue. Cases described in the relevant literature must be taken into account. As a matter of principle: the morce power plus may only be operated by competent trained personnel! The physician should read this entire manual with particular attention to the warnings, cautions and precautions section and be thoroughly familiar with the use of the instrument prior to performing any clinical procedure! Procedures performed using the morce power plus, as with any endoscopic instrument require adequate knowledge, training and preparation on the part of the physician/surgeon! The use of third-party products is the responsibility of the operator! Repairs are to be carried out by authorised richard-wolf service technicians exclusively! Failure to carefully follow all applicable instructions may result in significant injury to the patient, physician, or attendants and have an adverse effect on the outcome of procedures performed! Improper use and repair of the device, as well as failure to comply with our instructions absolves us from any performance guarantee or other claims! The use of a tissue extraction bag is recommended for the morcellation of tissue suspected of being malignant and for tissue the surgeon may consider to be potentially harmful when disseminated in the body cavity. Rwmic considers this complaint and mdr closed. If any additional information is provided, rwmic will provide a follow-up report as required.
Patient Sequence No: 1, Text Type: N, H10


[136191624] On (b)(6) 2016, richard wolf medical instruments corporation (rwmic) was notified by our attorney of a lawsuit filed on behalf of the deceased patient. The following information was provided: on (b)(6) 2012, the patient underwent a surgical procedure known as a laparoscopic supracervical hysterectomy and left salpingo-oophorectomy. During that procedure, the surgeon utilized the power morcellator device to shred or morcellate and remove the patient's uterus. After the surgery, a pathology report showed leiomyosarcoma in the morcellated tissue. It is alleged that the morcellation surgery seeded or upstaged the patient's cancer. The patient went through chemotherapy and radiation treatment, as well as additional surgery treatment. The patient died on (b)(6) 2013. Labeling and design flaws are mentioned in the lawsuit and therefore, referenced in event problem and evaluation codes. The device listed was the morce power plus morcellator. Part and batch number information was not provided and the device was not returned for investigation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1418479-2019-00006
MDR Report Key8341082
Report SourceOTHER
Date Received2019-02-14
Date of Report2016-01-20
Date of Event2012-12-17
Date Facility Aware2016-01-20
Report Date2019-02-08
Date Reported to FDA2019-02-08
Date Reported to Mfgr2019-02-08
Date Mfgr Received2019-02-08
Date Added to Maude2019-02-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. OLIVER EHRLICH
Manufacturer StreetPFORZHEIMER STREET 32
Manufacturer CityKNITTLINGEN, 75438
Manufacturer CountryGM
Manufacturer Postal75438
Manufacturer G1NOUVAG AG
Manufacturer StreetST. GALLERSTRASSE 23-25
Manufacturer CityGOLDACH, 9403
Manufacturer CountrySZ
Manufacturer Postal Code9403
Single Use3
Remedial ActionRB
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMOTOR POWER PLUS CONTROL UNIT
Generic NameMOTOR POWER PLUS CONTROL UNIT
Product CodeHET
Date Received2019-02-14
Model Number2307101
Catalog Number2307101
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerRICHARD WOLF GMBH
Manufacturer AddressPFORZHEIMER STREET 32 KNITTLINGEN, 75438 GM 75438


Patients

Patient NumberTreatmentOutcomeDate
101. Death; 2. Hospitalization; 3. Life Threatening; 4. Required No Informationntervention 2019-02-14

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