BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SLT-SURGICAL LASER TECHNOLOGIES

    MDR report key: 140863 · Received December 22, 1997

    Report

    Report Number
    MW1012708
    Event Type
    Injury
    Date Received
    December 22, 1997
    Date of Event
    December 22, 1997
    Report Date
    December 22, 1997
    Manufacturer
    SURGICAL LASER TECHNOLOGIES, INC.
    Product Code
    LLO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    LASER BRONCHOSCOPY PROCEDURE, 1.8 FIBER USED PER GUIDELINES, SURGEON REQUESTED ROUND TIP, NURSE SCREWED TIP ON SECURELY. WHEN SURGEON PULLED FIBER OUT OF SCOPE, THE ENTIRE "SCREWED ON" TIP & A PIECE OF THE FIBER REMAINED IN THE BRONCHUS. SURGEON WAS ABLE TO RETRIEVE THE TIP & ATTACHMENT FROM THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SLT-SURGICAL LASER TECHNOLOGIES FIBER DELIVERY SYSTEM LLO SURGICAL LASER TECHNOLOGIES, INC. * 112009

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Required Intervention