BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 233600 · Received May 27, 1999

    Report

    Report Number
    233600
    Event Type
    Injury
    Date Received
    May 27, 1999
    Date of Event
    February 25, 1999
    Report Date
    April 23, 1999
    Manufacturer
    V. MUELLER
    Product Code
    KCB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT ADMITTED FOR LAP-ASSISTED VAGINAL HYSTERECTOMY. A YANKAUER SUCTION TIP WAS ATTACHED TO CATHETER. DURING CASE, CATHETER WAS DROPPED ON THE FLOOR, WHERE IT REMAINED UNTIL END OF PROCEDURE. AFTER PROCEDURE, IT WAS NOTICED THAT THE TIP WAS MISSING FROM THE DROPPED CATHETER. AN X-RAY WAS ORDERED ON THE RECOVERING PT AND THE TIP WAS FOUND IN THE PT'S ABDOMEN. PT WAS TAKEN BACK TO OPERATING ROOM FOR LAPAROSCOPIC REMOVAL OF TIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * YANKAUER SUCTION TIP KCB V. MUELLER NL-1901 *

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Required Intervention