AUTO SUTURE
Received Jan 19, 1993 · Event occurred Aug 24, 1992
Report 3509 · MDR key 3509
Device
Generic name
Ecio M6 Acc. Kit
Manufacturer
United States Surgcal Corp.Model number
83421-06Catalog 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.