FDA Adverse Event
Malfunction
Summary report: N
FLEXISION BIOPSY NEEDLE
MDR report key: 17009862
·
Received May 26, 2023
Report
- Report Number
- 17009862
- Event Type
- Malfunction
- Date Received
- May 26, 2023
- Date of Event
- April 19, 2023
- Report Date
- May 19, 2023
- Manufacturer
- INTUITIVE SURGICAL, INC.
- Product Code
- EOQ
- UDI-DI
- 00886874115961
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TN
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
FLEXISION BIOPSY NEEDLE 21G, DURING BRONCHOSCOPY, HAD A FAILED SHEATH AND NEEDLE ON 3 SEPARATE NEEDLES. NEEDLES: #240930; LNN22002; EXP 09/30/2024; #240930; LNN22003; EXP 09/30/2024 AND #241031; LNN 22003; EXP 10/31/2024.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1916035 | FLEXISION BIOPSY NEEDLE | BRONCHOSCOPE (FLEXIBLE OR RIGID) | EOQ | INTUITIVE SURGICAL, INC. | 490103 | LNN22002, LNN22003, LNN22003 | 00886874115961 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 26280 DA | Female |