BEUDAMED
    FDA Adverse Event Injury Summary report: N

    C.R. BARD, INC.

    MDR report key: 276537 · Received May 5, 2000

    Report

    Report Number
    276537
    Event Type
    Injury
    Date Received
    May 5, 2000
    Date of Event
    April 19, 2000
    Report Date
    May 1, 2000
    Manufacturer
    BARD
    Product Code
    KNS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    UPON OPENING FORCEPS IN COLON BIOPSY CUPS FELL OFF. BIOPSY CUPS RETURNED WITH BIOPSY FORCEPS AND SMALL PIECES OF METAL WAS SUCTIONED UP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 C.R. BARD, INC. HOT BIOPSY FORCEPS KNS BARD * 88LJ0204

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Required Intervention
    2