BEUDAMED
    FDA Adverse Event Other Summary report: N

    EXCEL INSUFFLATION NEEDLE

    MDR report key: 272838 · Received April 3, 2000

    Report

    Report Number
    1824347-2000-00011
    Event Type
    Other
    Date Received
    April 3, 2000
    Report Date
    March 3, 2000
    Manufacturer
    IMAGYN SURGICAL
    Product Code
    FHO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SP
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    UPON REMOVING INSTRUMENT OUTER NEEDLE WAS FOUND IN PT CAVITY. IT WAS REMOVED DURING SURGERY. PT WAS NOT AFFECTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EXCEL INSUFFLATION NEEDLE EXCEL INSUFFLATION NEEDLE FHO IMAGYN SURGICAL 493 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other