BEUDAMED
    FDA Adverse Event Summary report: N

    KERRISON 1 MM GOLD TIP RONGEUR

    MDR report key: 14680 · Received July 14, 1994

    Report

    Report Number
    MW1002819
    Date Received
    July 14, 1994
    Date of Event
    May 7, 1994
    Report Date
    June 29, 1994
    Manufacturer
    AESCULAP INSTRUMENTS CORP.
    Product Code
    HTX
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING SURGICAL PROCEDURE TIP WAS DISCOVERED TO BE MISSING OFF RONGEUR. POSSIBLE RETENTION OF MISSING PIECE (NOT FOUND DURING SURGERY). X-RAY SHOWS FOREIGN BODY BUT UNABLE TO DETERMINE WHETHER MISSING PIECE OR SURGICAL CLIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KERRISON 1 MM GOLD TIP RONGEUR RONGEUR HTX AESCULAP INSTRUMENTS CORP. FF771

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR