BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDICAL INNOVATIONS CORP

    MDR report key: 120765 · Received September 17, 1997

    Report

    Report Number
    120765
    Event Type
    Injury
    Date Received
    September 17, 1997
    Date of Event
    April 30, 1997
    Report Date
    September 8, 1997
    Manufacturer
    MEDICAL INNOVATIONS CORP
    Product Code
    BTG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PLASTIC TIP OF DISPOSABLE CYTOLOGY BRUSH FELL OFF DURING BROCHOSCOPY. PATIENT REQUIRED SECOND OUTPATIENT BRONCHOSCOPY TO REMOVED TIP FROM PATIENT'S LUNG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDICAL INNOVATIONS CORP DISPOSABLE CYTOLOGY BRUSH BTG MEDICAL INNOVATIONS CORP * 6112-7902

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Required Intervention