FDA Adverse Event
Injury
Summary report: N
PRECISOR BRONCHO
MDR report key: 1173404
·
Received September 23, 2008
Report
- Report Number
- 9710641-2008-00136
- Event Type
- Injury
- Date Received
- September 23, 2008
- Report Date
- July 31, 2008
- Manufacturer
- DISPOSABLE BIOPSY FORCEPS
- Product Code
- BTG
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION IS STILL OPEN HOWEVER; THE SAMPLE WAS DISCARDED AT THE FACILITY. SHOULD MORE INFO BECOME AVAILABLE THROUGH THE INVESTIGATION REPORT, A SUPPLEMENTAL REPORT WILL BE FILED.
Description of Event or Problem · 1
IT WAS REPORTED "A TEAR TO THE ESOPHAGUS". NO CLINICAL COMPLICATIONS WERE RECORDED BY DR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PRECISOR BRONCHO | NONE | BTG | DISPOSABLE BIOPSY FORCEPS | 0712041 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |