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