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