BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AGILENT TECHNOLOGIES

    MDR report key: 293385 · Received August 28, 2000

    Report

    Report Number
    MW1019808
    Event Type
    Injury
    Date Received
    August 28, 2000
    Date of Event
    August 21, 2000
    Report Date
    August 28, 2000
    Manufacturer
    AGILENT TECHNOLOGIES
    Product Code
    ITX
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT SUSTAINED PERFORATED ESOPHAGUS DURING TRANSESOPHAGEAL ECHOCARDIOGRAM. THE INTUBATION WAS DIFFICULT WITH INTUBATION ACHIEVED ON THE THIRD ATTEMPT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AGILENT TECHNOLOGIES TRANSESOPHAGEAL SCOPE ITX AGILENT TECHNOLOGIES 21369A *

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Hospitalization| L| R