BEUDAMED
    FDA Adverse Event Other Summary report: N

    LITHOTRIPTER PROBE, 3.5 FR

    MDR report key: 16581 · Received October 4, 1994

    Report

    Report Number
    MW1003583
    Event Type
    Other
    Date Received
    October 4, 1994
    Date of Event
    August 23, 1994
    Report Date
    September 19, 1994
    Manufacturer
    RICHARD WOLF MEDICAL INSTRUMENTS CORP.
    Product Code
    FFK
    Report Source
    Voluntary report
    Reporter Location
    WV, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING OR PROCEDURE TO REMOVE RIGHT URETERAL STENT ON 8/23/94; FOREIGN BODY NOTED ON X-RAY IN RIGHT URETER. FOREIGN BODY BELIEVED TO BE LITHOTRIPTER PROBE TIP THAT WAS UTILIZED ON SURGICAL PROCEDURE DATED 8/12/94.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LITHOTRIPTER PROBE, 3.5 FR LITHOTRIPTER PROBE FFK RICHARD WOLF MEDICAL INSTRUMENTS CORP. 021931

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Other