FDA Adverse Event
Malfunction
Summary report: N
VCARE UTERINE MANIPULATOR
MDR report key: 6705830
·
Received July 10, 2017
Report
- Report Number
- MW5070922
- Event Type
- Malfunction
- Date Received
- July 10, 2017
- Date of Event
- July 7, 2017
- Report Date
- July 10, 2017
- Manufacturer
- CONMED CORPORATION
- Product Code
- LKF
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
THE BALLOONS ON BOTH CONMED CORPORATION VCARE MEDIUM UTERINE MANIPULATORS WOULD NOT INFLATE WHEN TRIALED PRIOR TO USE. THE DEVICES WERE NOTED TO BE FROM TWO DIFFERENT LOT #S.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 480412 | VCARE UTERINE MANIPULATOR | VCARE UTERINE MANIPULATOR | LKF | CONMED CORPORATION | 60-6085-201A | 201703201 | |
| 480413 | VCARE UTERINE MANIPULATOR | VCARE UTERINE MANIPULATOR | LKF | CONMED CORPORATION | 60-6085-201A | 201704101 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |