BEUDAMED
    FDA Adverse Event Other Summary report: N

    30 HYSTEROSCOPE

    MDR report key: 239741 · Received September 8, 1999

    Report

    Report Number
    MW1017144
    Event Type
    Other
    Date Received
    September 8, 1999
    Date of Event
    July 17, 1999
    Report Date
    September 8, 1999
    Manufacturer
    OLYMPUS AMERICA, INC.
    Product Code
    HFB
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PROCEDURE - HYSTEROSCOPY. FLAKES OF METAL SEEN DURING HYSTEROSCOPY. ALL OBSERVED FLAKES REMOVED FROM UTERUS BY PHYSICIAN DURING PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 30 HYSTEROSCOPE BX FORCEP HFB OLYMPUS AMERICA, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Other