inforMED
MalfunctionHNM

STORZ ANTERIOR CHAMBER NEEDLE 27GA

Received Aug 18, 2011 · Event occurred Aug 11, 2011

Report 1920664-2011-00108 · MDR key 2255207

Device

Generic name

27 Gauge Angle Tip Needle

Model number

E7106

Catalog number

E7106

Lot number

M517410

Product problems

  • Device Dislodged or Dislocated

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

A REPORT FROM THE USER FACILITY STATES THAT DURING PREPARATION FOR THE PROCEDURE THE 27 GAUGE NEEDLE TIP "FLEW ACROSS THE ROOM" AFTER BEING ATTACHED. THERE WAS NO PT CONTACT AND NO REPORT OF INJURY TO PERSONNEL.

Additional Manufacturer Narrative

THE PRODUCT IS NOT AVAILABLE FOR EVAL.