BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STAMEY PERCUTANEOUS SUPRAPUBIC CATHETER

    MDR report key: 16323 · Received February 17, 1994

    Report

    Report Number
    16323
    Event Type
    Injury
    Date Received
    February 17, 1994
    Date of Event
    October 20, 1993
    Report Date
    October 22, 1993
    Manufacturer
    COOK UROLOGICAL
    Product Code
    FEW
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    CYSTOSCOPY FOR REMOVAL OF FRAGMENT OF SUPRAPUBLIC CATHETER FROM BLADDER. CATHETER TIP BROKE OFF WHILE PHYSICIAN REMOVING CATHETER DURING OFFICE VISIT OF 10/15/93.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STAMEY PERCUTANEOUS SUPRAPUBIC CATHETER 14 FR MALECOT CATHETER FEW COOK UROLOGICAL UNKNOWN 115947

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Required Intervention