MalfunctionNLX
*
Received Jan 30, 2008 · Event occurred Jan 7, 2008
Report 998563 · MDR key 998563
Device
Generic name
Needle, Insufflation
Manufacturer
Applied Medical Resources CorporationModel number
REF #: C2201Catalog number
C2201
Lot number
1039649
Product problems
- Bent
- Occlusion Within Device
Patient
86 YR
- Unknown (for use when the patient's condition is not known)
Narrative
Description of Event or Problem
UPON INSPECTION, IT WAS FOUND THAT THE INSUFFLATION NEEDLE TIP BENT AND OCCLUDED THE FLOW OF CO2.