BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CURBELL

    MDR report key: 298923 · Received October 2, 2000

    Report

    Report Number
    MW1020058
    Event Type
    Injury
    Date Received
    October 2, 2000
    Date of Event
    September 14, 2000
    Report Date
    September 21, 2000
    Manufacturer
    CURBELL
    Product Code
    ILQ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT BROKE OFF PIECE FROM TV CONTROLLER AND SWALLOWED IT. AN ENDOGASTRICDUODENOSCOPY WAS NECESSARY TO RETRIEVE THE OBJECT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CURBELL TV CONTROLLER (PILLOW SPEAKER) ILQ CURBELL 103-001 *

    Patients

    Seq Age Sex Outcome Treatment
    1 6 YR Required Intervention