BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MICRO TIP WIPE

    MDR report key: 294902 · Received September 5, 2000

    Report

    Report Number
    294902
    Event Type
    Injury
    Date Received
    September 5, 2000
    Date of Event
    March 24, 2000
    Report Date
    September 1, 2000
    Manufacturer
    DEVON INDUSTRIES INC
    Product Code
    LRQ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    IN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE PT HAD PROBLEMS WITH OBSTRUCTION AFTER A TONSILLECTOMY AND ADENOIDECTOMY WERE PERFORMED. PT WAS RETURNED TO O.R. WHERE THEY WERE SCOPED. A MICROTIP WIPE WAS FOUND IN THE TRACHEA. USING GRASPING FORCEPS, THE FOREIGN BODY WAS REMOVED. THE PT RETURNED TO THE RECOVERY ROOM IN SATISFACTORY CONDITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MICRO TIP WIPE WIPE LRQ DEVON INDUSTRIES INC 3300 9279032

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Required Intervention