BEUDAMED
    FDA Adverse Event Other Summary report: N

    CONMED

    MDR report key: 1183976 · Received October 1, 2008

    Report

    Report Number
    MW5008504
    Event Type
    Other
    Date Received
    October 1, 2008
    Date of Event
    September 23, 2008
    Report Date
    October 1, 2008
    Manufacturer
    CONMED
    Product Code
    FDX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING BRONCHOSCOPY PROCEDURE, CYTOLOGY BRUSH WAS PASSED INTO THE SPECIMEN PORT. UPON WITHDRAWAL, THE BRUSH WAS MISSING AND COULD BE SEEN IN THE PT'S RIGHT BRONCHIAL AREA WITH THE BRONCHOSCOPE. TWO ATTEMPTS WERE MADE TO RETRIEVE THE BRUSH WITH THE BIOPSY FORCEP, SECOND ATTEMPT OF REMOVAL WAS SUCCESSFUL WITH NO PT HARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONMED DISPOSABLE CYTOLOGY BRUSH FDX CONMED * 0801021

    Patients

    Seq Age Sex Outcome Treatment
    1 Other