FDA Adverse Event
Injury
Summary report: N
TUN-L-XLT CATHETER
MDR report key: 227568
·
Received June 14, 1999
Report
- Report Number
- MW1016520
- Event Type
- Injury
- Date Received
- June 14, 1999
- Date of Event
- May 24, 1999
- Report Date
- June 14, 1999
- Manufacturer
- EPIMED INTERNATIONAL, INC.
- Product Code
- BSO
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
DURING EPIDUROLYSIS PROCEDURE RACZ CATHETER SHEARED OFF LEAVING A 10CM PORTION IN THE MUSCLE OF THE BACK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TUN-L-XLT CATHETER Implant | * | BSO | EPIMED INTERNATIONAL, INC. | * | 811555 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 34 YR | Required Intervention |