BEUDAMED
    FDA Adverse Event Summary report: N

    DISPOSABLE BRONCHOSCOPY FORCEPS

    MDR report key: 29439 · Received January 24, 1996

    Report

    Report Number
    MW1008148
    Date Received
    January 24, 1996
    Date of Event
    January 15, 1996
    Report Date
    January 16, 1996
    Manufacturer
    AMERICAN CATHETER CORP.
    Product Code
    HTD
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    BRONCHOSCOPY FORCEPS FRACTURED WHILE BIOPSY WAS BEING TAKEN. FORCEPS BECAME LODGED IN LUNG AND SEVERAL MINUTES OF MANIPULATION WERE REQUIRED TO EXTRACT THE FORCEPS. (*)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DISPOSABLE BRONCHOSCOPY FORCEPS FORCEPS HTD AMERICAN CATHETER CORP. 105210

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR