BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NOZ-STOP

    MDR report key: 34850 · Received July 9, 1996

    Report

    Report Number
    34850
    Event Type
    Injury
    Date Received
    July 9, 1996
    Date of Event
    June 15, 1996
    Report Date
    July 8, 1996
    Manufacturer
    PERRY SMITH & NEPHEW MEDICAL
    Product Code
    EMX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    2-3 DEVICES HAD TO BE USED TO STOP SEVERE EPISTAXIS. BALLOONS ON DEVICE BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NOZ-STOP MSAL HEMOSTATIC CATHETER KIT EMX PERRY SMITH & NEPHEW MEDICAL NA 571382

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Required Intervention