inforMED
MalfunctionKYP

AUTO SUTURE

Received Jan 19, 1993 · Event occurred Aug 24, 1992

Report 3509 · MDR key 3509

Device

Generic name

Ecio M6 Acc. Kit

Model number

83421-06

Catalog number

178021

Lot number

NIJ86M 10/96

Patient

36 YR

Narrative

Description of Event or Problem

TROCAR - PIECE OF INSTRUMENT SEPERATED PLUS CO2 WAS LEAKINGDEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: INVALID DATA. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: VISUAL EXAMINATION. RESULTS OF EVALUATION: NONE OR UNKNOWN. CONCLUSION: NONE OR UNKNOWN. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NO DATA. THE DEVICE WAS NOT DESTROYED/DISPOSED OF.