BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    JONES TUBE

    MDR report key: 10250065 · Received July 8, 2020

    Report

    Report Number
    MW5095429
    Event Type
    Malfunction
    Date Received
    July 8, 2020
    Date of Event
    June 16, 2020
    Report Date
    July 6, 2020
    Manufacturer
    GUNTHER WEISS SCIENTIFIC GLASSBLOWING CO., INC.
    Product Code
    HNL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHILE PLACING A 4 X 16 JONES TUBE DURING A BILATERAL DACRYOCYSTORHINOSTOMY JONES TUBES CONJUNCTIVORHINOSTOMY PLACEMENT TUBE HAD BROKEN AND A PIECE OF THE JONES TUBE (GLASS) THOUGHT TO BE IN OR AROUND THE PATIENT. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    712848 JONES TUBE PROBE, LACHRYMA HNL GUNTHER WEISS SCIENTIFIC GLASSBLOWING CO., INC. 3005489143

    Patients

    Seq Age Sex Outcome Treatment
    1