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