inforMED
MalfunctionPLL

ORISE GEL

Received Sep 22, 2022 · Event occurred Sep 9, 2022

Report 15462261 · MDR key 15462261

Device

Generic name

Submucosal Injection Agent

Model number

M00519200

Lot number

28942502

Product problems

  • Break

Patient

Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

GLASS SYRINGE BROKE OFF HUB CONNECTOR (AND GLASS PIECE STAYED IN INJECTOR THAT WE WERE USING) WHILE INJECTING AND SPRAYED MD IN FACE AND EYES.