BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SKYLAR VEIN STRIPPER

    MDR report key: 34727 · Received June 27, 1996

    Report

    Report Number
    34727
    Event Type
    Injury
    Date Received
    June 27, 1996
    Date of Event
    May 8, 1996
    Report Date
    June 24, 1996
    Manufacturer
    UNKNOWN
    Product Code
    DWQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING SURGICAL PROCEDURE OF STRIPPING OF RIGHT GREATER SAPHENOUS, TIP OF THE VEIN STRIPPER INSTRUMENT CAME OFF. THE BROKEN PORTION WAS RETRIEVED BY THE SURGEON. PORTABLE X-RAY FOR FOREIGN BODY WAS PERFORMED, WITH NONE FOUND. WOUNDS WERE CLOSED WITH STAPLES AND THE PT RECOVERED WITH NO ADD'L EVENTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SKYLAR VEIN STRIPPER VEIN STRIPPER DWQ UNKNOWN UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Required Intervention