FDA Adverse Event
No answer provided
Summary report: N
FLEXOR RAABE 5.0X38X55
MDR report key: 16120807
·
Received January 9, 2023
Report
- Report Number
- 16120807
- Event Type
- No answer provided
- Date Received
- January 9, 2023
- Date of Event
- February 6, 2021
- Report Date
- December 19, 2022
- Manufacturer
- COOK INCORPORATED
- Product Code
- DYB
- Report Source
- User Facility report
- Reporter Location
- CT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
RETAINED FOREIGN BODY LOCATED ON CT SCAN THIS ADMISSION IN THE LEFT GROIN SUSPECTED FROM A PROCEDURE IN (B)(6) 2021. DISCLOSED TO PATIENT BY MEDICAL TEAM AND PATIENT LEFT AMA (AGAINST MEDICAL ADVICE).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1564682 | FLEXOR RAABE 5.0X38X55 | INTRODUCER, CATHETER | DYB | COOK INCORPORATED |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |