MINOP TROCAR 150MM 4 WKING CHANNEL6.0MM FF399R

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2019-04-18 for MINOP TROCAR 150MM 4 WKING CHANNEL6.0MM FF399R manufactured by Aesculap Ag.

Event Text Entries

[142462442] (b)(4). Manufacturing site evaluation: investigation on-going. Additional information / investigation results will be provided in a supplemental report.
Patient Sequence No: 1, Text Type: N, H10


[142462443] It was reported that there was an malfunction of the minop device. During pre-incision testing, the surgeon noted that the overflow channel was not receiving outflow. The patient was on the operating room and prepped when it occurred; however, the first incision had not been made. The originally planned surgery was an endoscopic third ventriculostomy. The surgical team worked to try and solve the issue for about an hour, which delayed the start of the surgery. Also, due to the malfunction of the neuro-endoscopy device, the surgeon decided to perform a shunt insertion instead. The outcome of the procedure was not noted; the minop system was never used on the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610612-2019-00273
MDR Report Key8529719
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2019-04-18
Date of Report2019-07-05
Date of Event2019-03-29
Date Facility Aware2019-03-29
Date Mfgr Received2019-06-14
Date Added to Maude2019-04-18
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 ContactMS. KERSTIN ROTHWEILER
Manufacturer StreetPO BOX 40
Manufacturer CityTUTTLINGEN, MO 78501
Manufacturer CountryGM
Manufacturer Postal78501
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 NameMINOP TROCAR 150MM 4 WKING CHANNEL6.0MM
Generic NameNEUROENDOSCOPY
Product CodeGWG
Date Received2019-04-18
Model NumberFF399R
Catalog NumberFF399R
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerAESCULAP AG
Manufacturer AddressPO BOX 40 TUTTLINGEN, 78501 GM 78501


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-04-18

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