BEUDAMED
    FDA Adverse Event Summary report: N

    NOZ-STOP NASAL HEMOSTATIC CATHETER KIT

    MDR report key: 19565 · Received February 9, 1995

    Report

    Report Number
    MW1005079
    Date Received
    February 9, 1995
    Date of Event
    January 13, 1995
    Report Date
    January 23, 1995
    Manufacturer
    SMITH & NEPHEW PERRY
    Product Code
    EMX
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AT 8:00 AM FEMALE PT ENTERED OR WITH EPISTAXIS. DR INSERTED DEVICE INTO NOSTRIL AND INJECTED AIR INTO SIDE VALVE. THE END SECTION OF THE BULB POPPED. PT BECAME ANXIOUS. MFR STATES THEY NO LONGER MAKE THIS PRODUCT AND THE LOT NUMBER WAS MANUFACTURED IN 6/91.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NOZ-STOP NASAL HEMOSTATIC CATHETER KIT EMX SMITH & NEPHEW PERRY 571368

    Patients

    Seq Age Sex Outcome Treatment
    1 *