BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HARRELL BRONCHOSCOPE

    MDR report key: 18858000 · Received March 6, 2024

    Report

    Report Number
    MW5152454
    Event Type
    Malfunction
    Date Received
    March 6, 2024
    Date of Event
    February 27, 2024
    Report Date
    March 4, 2024
    Manufacturer
    CONMED CORPORATION
    Product Code
    GEE
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    HARRELL BRONCHOSCOPE UNSHEATHED CYTOLOGY BRUSH - REF # 000140, LOT # 202304184, EXP 04/16/2028. - BRUSH HEAD CAME OFF INSIDE PT'S LEFT LOWER LOBE. DR. (B)(6) RETRIEVED IT USING ION CATH, PULMONARY FORCEPS AND THERAPUTIC BRONCHSCOPE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    159833 HARRELL BRONCHOSCOPE BRUSH, BIOPSY, GENERAL & PLASTIC SURGERY GEE CONMED CORPORATION CONMED CORPORATION

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown