FDA Adverse Event Injury Summary report: N

KOH CUP

MDR report key: 1252006 · Received November 21, 2008

Report

Report Number
1216677-2008-00039
Event Type
Injury
Date Received
November 21, 2008
Report Date
November 21, 2008
Product Code
HEX
Adverse Event
Yes
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

IN KEEPING WITH GOOD MEDICAL PRACTICE, THE PHYSICIAN HAS THE RESPONSIBILITY TO ENSURE ALL NON-IMPLANTABLE DEVICES ARE REMOVED FROM THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KOH CUP COLPOTOMIZER SYSTEM HEX

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention