BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CRAWFORD LACRIMAL INTUBATION SET

    MDR report key: 251817 · Received November 19, 1999

    Report

    Report Number
    251817
    Event Type
    Injury
    Date Received
    November 19, 1999
    Date of Event
    September 21, 1999
    Report Date
    October 14, 1999
    Manufacturer
    JEDMED INSTRUMENT CO.
    Product Code
    HNW
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    IN 1999 THE PT UNDERWENT UPPER AND LOWER PLASTIC REPAIR OF RIGHT-SIDED CANALICULI, NASAL LACRIMAL DUCT PROBING WITH INTUBATION, AND INFRACTURE OF THE MIDDLE TURBINATE. THREE ATTEMPTS WERE REQUIRED FOR CRAWFORD TUBE PLACEMENT, AS THE TUBES CONTINUED TO BREAK UPON PASSAGE. FINALLY, A TUBE WAS PASSED SUCCESSFULLY THROUGH THE CANALICULI. THE PT RETURNED TO SURGERY FOR THE SECOND STAGE OF THE PROCEDURE. AT THAT TIME, A PIECE OF THE LACRIMAL INTUBATION SET FROM THE PREVIOUS SURGERY WAS FOUND IN THE CANALICULI. THE PHYSICIAN REMOVED THE RETAINED PIECE OF TUBING AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CRAWFORD LACRIMAL INTUBATION SET LACRIMAL INTUBATION SET HNW JEDMED INSTRUMENT CO. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Required Intervention