MalfunctionPLL
ORISE¿ GEL
Received Apr 7, 2022 · Event occurred Mar 21, 2022
Report 14041869 · MDR key 14041869
Device
Generic name
Submucosal Injection Agent
Manufacturer
Boston Scientific CorporationModel number
M00519200Lot number
28495209
Product problems
- Break
Patient
27740 DA · Female
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
SLIP TIP OF ORISE 10 SYRINGE BROKE OFF INSIDE OF CONNECTOR PORT OF INJECTION NEEDLE.