BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WILSON COOK MEDICAL HPC-2

    MDR report key: 241508 · Received August 30, 1999

    Report

    Report Number
    MW1017200
    Event Type
    Injury
    Date Received
    August 30, 1999
    Date of Event
    August 30, 1999
    Report Date
    August 30, 1999
    Manufacturer
    WILSON COOK MEDICAL, INC.
    Product Code
    KNS
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    DURING ERCP, SPHINCTEROTOMY BALLOON EXTRACTION OF STONES NEEDLE CAME OFF PAPILLOTOME AFTER CAUTERIZATION. PT SCHEDULED FOR CHOLECYSTECTOMY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WILSON COOK MEDICAL HPC-2 HUI BREGTSE NEEDLE KNIFE KNS WILSON COOK MEDICAL, INC. H791333817 *

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Required Intervention