inforMED
MalfunctionQKL

LIPOGRAFTER KIT VALVE

Received Oct 7, 2024

Report MW5160797 · MDR key 20399639

Device

Generic name

Lipoaspirate Washing System For Aesthetic Body Contouring

Model number

915000 OR 913000

Lot number

121-23R

Patient

54 YR · Female

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Narrative

Description of Event or Problem

AIR WAS ENTERING AT VALVE DEVICE AND FAT GRAFT WAS NOT FLOWING THROUGH IT PROPERLY. A 5ML SYRINGE WAS SUCCESSFULLY USED AS A SUBSTITUTE, AND DEVICE WAS SUBMITTED ALONG WITH DEVICE/PRODUCT COMPLAINT REPORT SHEET.