FDA Adverse Event
Malfunction
Summary report: N
UTERINE MANIPULATOR INJECTOR - THE MANIPULATOR 4.5
MDR report key: 24743652
·
Received March 31, 2026
Report
- Report Number
- MW5186181
- Event Type
- Malfunction
- Date Received
- March 31, 2026
- Date of Event
- March 16, 2026
- Report Date
- March 26, 2026
- Manufacturer
- BIOTEQUE AMERICA, INC
- Product Code
- LKF
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- SC, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
UTERINE MANIPULATOR BROKE DURING SURGICAL PROCEDURE. MD REPORTS THIS HAS BEEN HAPPENING FREQUENTLY WITH THIS MANIPULATOR. THE DEVICE WAS COMPLETELY REMOVED AND NO DAMAGE TO THE PATIENT WAS NOTICED BY THE SURGICAL TEAM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 808523 | UTERINE MANIPULATOR INJECTOR - THE MANIPULATOR 4.5 | CANNULA, MANIPULATOR/INJECTOR, UTERINE | LKF | BIOTEQUE AMERICA, INC | A240607 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 32 YR | Female | Other |