MalfunctionFHO
SURGINEEDLE
Received Jun 20, 2018 · Event occurred May 24, 2018
Report 1219930-2018-03239 · MDR key 7620528
Device
Generic name
Pneumoperitoneum Needle
Manufacturer
Covidien Lp Llc North HavenModel number
172015Catalog number
172015
Product problems
- Detachment Of Device Component
- Detachment Of Device Component
Patient
59 YR
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Additional Manufacturer Narrative
IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
Description of Event or Problem
ACCORDING TO THE REPORTER, DURING A LAPAROSCOPIC CHOLECYSTECTOMY, THE VALVE OF THE DEVICE DISLODGED AND FELL INSIDE THE PATIENT¿S CAVITY. IT WAS LOCATED AND REMOVED AND THE CASE WAS COMPLETED. THERE WAS NO PATIENT INJURY.