inforMED
MalfunctionFZG

SINGLE USE ASPIRATION NEEDLE

Received Jul 9, 2014 · Event occurred Jun 11, 2014

Report 8010047-2014-00402 · MDR key 4008997

Device

Generic name

Aspiration Needle

Model number

BA-201SX-4022

Catalog number

NA

Product problems

  • Break

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

OLYMPUS MEDICAL SYSTEMS CORP (OMSC) WAS INFORMED THAT A PROCEDURE, THE SHEATH WAS KINKED. THERE WAS NO REPORT OF PATIENT INJURY REGARDING THIS EVENT.

Additional Manufacturer Narrative

OMSC HAVE NOT RECEIVED THE SUBJECT PRODUCTS FOR EVALUATION YET. THE EXACT CAUSE OF THE USER'S REPORT COULD NOT BE CONCLUSIVELY DETERMINED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED, IF ADDITIONAL AND SIGNIFICANT INFORMATION BECOMES AVAILABLE AT A LATER TIME. THIS REPORT IS BEING SUBMITTED AS A MEDICAL DEVICE REPORT IN AN ABUNDANCE OF CAUTION.