FDA Adverse Event Injury Summary report: N

URETHRAL FOLLOWER

MDR report key: 294625 · Received September 5, 2000

Report

Report Number
2429473-2000-00078
Event Type
Injury
Date Received
September 5, 2000
Date of Event
August 28, 2000
Report Date
September 5, 2000
Manufacturer
RUSCH, INC.
Product Code
FAX
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE TIP OF THE PHILLIPS CATHETER FOLLOWER CAME OFF IN THE PATIENT'S URETHRA, LEAVING THE FILIFORM AND FOLLOWER TIP ON THE URETHRA ONCE THE FOLLOWER WAS WITHDRAWN. THE DR USED GRASPERS TO REMOVE THE FOLLOWER TIP AND FILIFORM. IT WAS REPORTED THAT THERE WAS NO INJURY TO THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 URETHRAL FOLLOWER URETHRAL FOLLOWER FAX RUSCH, INC. NA 97001

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention