inforMED
MalfunctionFHO

INSUFFLATION/ACCESS NEEDLE 14 GAUGE

Received May 30, 2006 · Event occurred May 8, 2006

Report 2647580-2006-00235 · MDR key 721463

Device

Generic name

Disposable Surgical Access Device

Manufacturer

Ponce - Uss

Model number

*

Catalog number

S100000

Lot number

P6A753

Product problems

  • Failure to Advance

Patient

UNKNOWN

  • Bleeding
  • Tissue Damage
  • Surgical procedure, additional

Narrative

Description of Event or Problem

PROCEDURE: OOPHEROCYSTECTOMY. WHEN THE PACKAGE WAS OPENED THE BLUNT STYLET WAS OBSERVED TO BE RETRACTED AND THE NEEDLE WAS EXPOSED. THE SURGEON PROCEEDED TO INSERT IT INTO THE CAVITY BUT THE STYLET WOULD NOT ADVANCE. HOWEVER, THE CAVITY HAD BEEN PENETRATED WHICH CAUSE A SMALL AMOUTN OF TISSUE DAMAGE WHICH RESULTED IN BLEEDING OF LESS THAN 100CC. THE SURGEON USED ELECTROCAUTERY TO STOP THE BLEEDING.