FDA Adverse Event Injury Summary report: N

EASY CORE BIOPSY DEVICE

MDR report key: 1522946 · Received November 5, 2009

Report

Report Number
3005099803-2009-05237
Event Type
Injury
Date Received
November 5, 2009
Report Date
October 12, 2009
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
FCG
PMA / PMN Number
K050120
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINANT WAS UNABLE TO PROVIDE THE SUSPECT DEVICE MODEL NUMBER OR LOT NUMBER; THEREFORE, THE DEVICE MANUFACTURE AND EXPIRATION DATES ARE UNK.

Description of Event or Problem · 1

ON OCTOBER 12, 2009, A BOSTON SCIENTIFIC CORP EMPLOYEE BECAME AWARE OF AN ARTICLE, "OUTPATIENT PERCUTANEOUS RENAL BIOPSY IN ADULT PATIENTS" BY ABDULLA K. AL-KWEISH, ET.AL. PUBLISHED IN FOREIGN JOURNAL OF KIDNEY DISEASES AND TRANSPLANTATION 2007; 18 (4): 541-546. THE FOLLOWING INFO WAS DERIVED FROM THIS ARTICLE: AN EASY CORE BIOPSY DEVICE WAS USED DURING A PERCUTANEOUS RENAL BIOPSY OF THE KIDNEY. ACCORDING TO THE ARTICLE, GROSS TRANSIENT HEMATURIA WAS OBSERVED WITHIN SIX HOURS POST PROCEDURE. ATTEMPTS HAVE BEEN UNSUCCESSFUL TO OBTAIN ADD'L INFO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EASY CORE BIOPSY DEVICE FCG BOSTON SCIENTIFIC CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 Other