Reportable Type (potential fragment, unclamping, arcing, or unintuitive motion)
Potential Reportability = yes or no?
Symptom Detail Coding
Is Follow-Up Required?
Escalations
100

Instrument has physical damage during a procedure, FFIP = Not Applicable or Unknown.

What is potential fragment risk?

100
CRM Notes: Frayed cable, no fragments.

What is PR=No/ Not Reportable

100

Broken gears. FFIP = No.

What is "Physical Damage - No Fragment Fall"?

100

Broken input disks discovered during central processing. FFIP = No. 

What is an example of no follow-up required?

100

Complaints will be escalated to this team if the CRM notes mention bleeding, burns, or a conversion to open surgery.

Who is the Adverse Events team?

200

Force Bipolar with misaligned/ bent grips

What is potential unclamping/ tissue entrapment?

200
CRM Notes: Mega Suturecut needle driver has a broken cable

What is PR=Yes/ Reportable?

200

Scope won't flip.

What is "Image Orientation Issue"?

200

"Broken Cable." Material number = 470171-13.

What is follow-up required for potential arcing?

200

This team will support Mexicali with simple customer follow-up on non-reportable complaints.

Who is Peachtree Corners/ who is PTC?

300

Black cable sticking out

What is potential arcing?

300

CRM Notes: Jaws of the Force Bipolar were stuck shut prior to start. IRK didn't work, sending it back.

What is PR=Yes/ Reportable?

300

Black cable sticking out.

What is "Cautery Issue-Broken/Loose Cautery Wire"?

300

Force Bipolar with bent grips. No missing critical fields.

What is follow-up required for potential unclamping/ tissue entrapment issue?

300

Non-reportable complaints will be "Assigned To" this person while they are pending completion of customer follow-up.

Who is Gama?

400

The image just looks wrong

What is potential unintuitive motion (inverted image) risk?

400

CRM Notes: Loose black cable

What is PR=Yes / Not Reportable?

400

EOL

What is "Out of Uses/ Expired Prematurely"?

400

IDK the endoscope just doesn't work. All critical fields blank/ unknown.

What is follow-up required for unintuitive motion (inverted image) AND potential fragment?

400

This is the combination of "potential reportability" and "follow-up requirements" that can be retained by the Mexicali team if the complaint originated in Spain.

What is a PR=No case that does not require follow-up?

500

Had to use the IRK

What is potential unclamping risk?
500

CRM Notes: just a little tear in the clear part of the tip cover, no arcing. 

What is PR=Yes/ Not Reportable?

500

Failed self-check.

What is "Calibration"?

500

Broke during the procedure. Identified when = During Procedure. Procedure Outcome = Unknown. FFIP = unknown.

What is follow-up required for insufficient information + critical patient fields/ patient involvement/ patient harm?

500

The complaint owner and the follow up assignee for these CRM notes: "The Force Bipolar instrument looked like the jaws were unhinged/ dislodged." The country of origin is Japan.

Who is Melody + Not Me (either Melody or the OUS follow-up assignee already assigned)?

M
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