FDA Adverse Event
Malfunction
Summary report: N
MICROTEK
MDR report key: 18821525
·
Received March 1, 2024
Report
- Report Number
- 8043817-2024-00003
- Event Type
- Malfunction
- Date Received
- March 1, 2024
- Date of Event
- December 3, 2023
- Report Date
- March 1, 2024
- Manufacturer
- ECOLAB/MICROTEK INC
- Product Code
- PUI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT ON (B)(6) 2023, DURING AN OOCYTE PUNCTURE WITH AN ENDOVAGINAL ULTRASOUND PROBE, THE PROBE COVER BROKE AFTER 2 TO 3 MINUTES. THE PROCEDURE WAS COMPLETED, AND THE PROBE COVER BROKE WHEN THE PROBE WAS REMOVED. AFTER VISUALIZING AN ECHO OPACITY DURING THE PROCEDURE, POOR ECHOGENICITY MADE THE PUNCTURE DIFFICULT. NO OTHER PATIENT INJURIES, INFECTIONS OR COMPLICATIONS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 211768 | MICROTEK | INTRAOPERATIVE PROBE COVER | PUI | ECOLAB/MICROTEK INC | 15344-00 | 6352LRI100 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |