FDA Adverse Event
Malfunction
Summary report: N
NEXUS
MDR report key: 19277036
·
Received May 9, 2024
Report
- Report Number
- 19277036
- Event Type
- Malfunction
- Date Received
- May 9, 2024
- Date of Event
- April 4, 2024
- Report Date
- April 11, 2024
- Manufacturer
- MISONIX, INC.
- Product Code
- LFL
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- UT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
WHEN THE BONE SCALPING TUBING WAS CONNECTED IT WAS LEAKING, WHERE THE TUBING AND THE CONNECTOR MET, SAVED TUBING AND PACKAGING AND GAVE TO QUALITY NURSE. LOT NUMBER 233200 MANUFACTURER RESPONSE FOR INSTRUMENT, ULTRASONIC SURGICAL, NEXUS (PER SITE REPORTER). NO RESPONSE YET.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1548433 | NEXUS | INSTRUMENT, ULTRASONIC SURGICAL | LFL | MISONIX, INC. | 110-31-1120 | 233200 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 11 YR | Male |