MalfunctionFHO
PNEUMO-MATIC INSUFFLATION VERESSNEEDLE
Received Mar 31, 2020 · Event occurred Mar 27, 2020
Report MW5093999 · MDR key 9910418
Device
Generic name
Pneumoperitoneum Needle
Manufacturer
Cooper Surgical Inc.Model number
900-200Catalog number
900-200
Lot number
277792
Product problems
- Obstruction of Flow
Patient
52 YR
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
PNEUMO-MATIC INSUFFLATION NEEDLE TIP OCCLUDED BY WHAT APPEARED TO BE EXTERNAL WHITE, THEN UNDERLYING RED PLASTIC. FDA SAFETY REPORT ID # (B)(4).