BEUDAMED
    FDA Adverse Event Injury Summary report: N

    OLYMPUS COLONSCOPE

    MDR report key: 29858 · Received January 3, 1996

    Report

    Report Number
    29858
    Event Type
    Injury
    Date Received
    January 3, 1996
    Date of Event
    December 14, 1995
    Report Date
    January 2, 1996
    Manufacturer
    OLYMPUS CORPORATION
    Product Code
    FDF
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE PT COMPLAINED OF ABDOMINAL PAIN POST COLONSCOPY. FLAT PLATE OF THE ABDOMEN DONE AND REVEALED FREE AIR. ON 12/15/95 PT HAD EXPLORATORY LAPAROSCOPY/LYSIS OF ADHESIONS/REPAIR OF PERFORATED COLON. AS OF 12/18/95 PT WAS NPO IN STABLE CONDITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OLYMPUS COLONSCOPE OLYMPUS COLONSCOPE FDF OLYMPUS CORPORATION CF 100L

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Required Intervention