FDA Adverse Event Injury Summary report: N

PMI

MDR report key: 22666723 · Received July 30, 2025

Report

Report Number
3009495876-2025-00001
Event Type
Injury
Date Received
July 30, 2025
Date of Event
June 27, 2025
Report Date
July 30, 2025
Manufacturer
BEILUN PLASTECH INC
Product Code
GBZ
UDI-DI
00812608021017
Product Problem
Yes
Report Source
Distributor report
Reporter Location
OH, US
Reporter Occupation
501

Narratives

Description of Event or Problem · 0

DURING A LAP CHOLE, [THE SURGEON] INSERTED A CHOLANGIOGRAM CATHETER (PMIORCB) THROUGH A SMALL INCISION IN THE ABDOMEN. [THE SURGEON] IS A GENERAL SURGEON WITH MULTIPLE YEARS OF EXPERIENCE WITH THE PROCEDURE AND WITH PMIORCB. DURING INSERTION OF THE CATHETER, THE TIP/BEND OF THE PRODUCT BROKE OFF. THIS PORTION OF THE CATHETER REMAINED IN THE PATIENT'S SUBCUTANEOUS TISSUE IN THE RIGHT UPPER QUADRANT OF THE ABDOMEN. THE BROKEN PORTION WAS LOCATED USING X-RAY IMAGING AND REMOVED. [THE SURGEON] WAS ABLE TO ENLARGE THE INCISION AND COMPLETELY REMOVE THE CATHETER TIP THAT HAD BROKEN OFF. THE PATIENT'S CLINICAL OUTCOME WAS REPORTEDLY "GOOD." THE SURGERY TIME WAS EXTENDED, BUT THE PATIENT EXPERIENCED NO COMPLICATIONS POST-OP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
50057 PMI PMI OPERATIVE CHOLANGIOGRAPHY CATHETER FOR TRADITIONAL OPEN PROCEDURE GBZ BEILUN PLASTECH INC PMIORCB 010230801 00812608021017

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention