inforMED
MalfunctionFHO

PNEUMO-MATIC INSUFFLATION NEEDLE

Received Oct 23, 2020 · Event occurred Oct 21, 2020

Report MW5097438 · MDR key 10733247

Device

Generic name

Pneumoperitoneum Needle

Model number

900-200

Catalog number

900-200

Lot number

277793

Product problems

  • Device Markings/Labelling Problem
  • Pressure Problem

Patient

46 YR

  • No Patient Involvement
  • No Patient Involvement

Narrative

Description of Event or Problem

A TOTAL OF (3) INSUFFLATION NEEDLES DID NOT PASS A HIGH PRESSURE EVALUATION BY THE SURGEON PRIOR TO THEIR USE. A TOTAL OF (3) DEVICES IDENTIFIED. TWO WITH EXPIRATION DATE 4/17/2023, AND ONE WITH AN EXPIRATION DATE OF 6/16/2023. FDA SAFETY REPORT ID # (B)(4).