FDA Adverse Event Malfunction Summary report: N

BEMIS 2000CC HI-FLOW SUCTION CANISTER

MDR report key: 3000108 · Received February 8, 2013

Report

Report Number
2133713-2013-00001
Event Type
Malfunction
Date Received
February 8, 2013
Date of Event
February 6, 2013
Report Date
February 8, 2013
Manufacturer
BEMIS MFG. CO.
Product Code
GCX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER IS USING PRODUCT FOR A PROCEDURE WHICH WE DO NOT RECOMMEND. INSTRUCTIONS FOR USE PROVIDED WITH THE PRODUCT WARN THAT PRODUCT IS NOT RECOMMENDED FOR LIPOSUCTION.

Description of Event or Problem · 1

SURGERY CENTER REPORTED THAT THEY EXPERIENCED A CANISTER BREAK DURING A LIPOSUCTION PROCEDURE. THERE WERE NO PT CONSEQUENCES, BUT THE FAILURE CAUSED A HALF HOUR DELAY WHILE STAFF CLEANED UP THE MESS. REPORTER STATED THEY HAD PREVIOUSLY EXPERIENCED CRACKED CANISTERS DURING LIPOSUCTION, BUT HAD NOT PREVIOUSLY REPORTED THEM TO THE MANUFACTURER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
54965 BEMIS 2000CC HI-FLOW SUCTION CANISTER APPARATUS, VACUUM, SUCTION POWERED GCX BEMIS MFG. CO. 494410 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1