BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EXCELON TRANSBRONCHIAL

    MDR report key: 2050310 · Received April 6, 2011

    Report

    Report Number
    MW5020204
    Event Type
    Injury
    Date Received
    April 6, 2011
    Date of Event
    March 25, 2011
    Report Date
    April 6, 2011
    Manufacturer
    BOSTON SCIENTIFIC
    Product Code
    EOQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NEEDLE FAILED TO ENGAGE IN ORDER TO ASPIRATE FOR BIOPSY. NEEDLE HAD ALREADY BEEN PASSED INTO PT. NO HARM TO PT; WAS REMOVED W/O HARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EXCELON TRANSBRONCHIAL ASPIRATION NEEDLE EOQ BOSTON SCIENTIFIC 6410 14152169

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Disability