VERRES NEEDLE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-02-26 for VERRES NEEDLE manufactured by Ethicon Endo Surgery, Llc.

Event Text Entries

[3174823] Verres needle would not push gas into abdominal cavity. Hose itself was working. Apparatus seemed blocked. No adverse event injury to the pt. Reason for use: laparoscopic low anterior resection.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5029199
MDR Report Key2993125
Date Received2013-02-26
Date of Report2013-02-26
Date of Event2012-11-20
Date Added to Maude2013-03-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameVERRES NEEDLE
Generic NameVERRES NEEDLE
Product CodeFHO
Date Received2013-02-26
Lot NumberJ4CE99
Device Expiration Date2017-08-29
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerETHICON ENDO SURGERY, LLC


Patients

Patient NumberTreatmentOutcomeDate
10 2013-02-26

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