FDA Adverse Event
Injury
Summary report: N
ACHROMATIC SCOPE, 5MM
MDR report key: 362029
·
Received November 21, 2001
Report
- Report Number
- 2953148-2001-00062
- Event Type
- Injury
- Date Received
- November 21, 2001
- Date of Event
- October 23, 2001
- Report Date
- November 21, 2001
- Manufacturer
- SCHOLLY FIBEROPTIC GMBH
- Product Code
- GCJ
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THERE HAD BEEN AN INCREASE IN PCO2 AND PA PRESSURE IN PATIENT, WHICH WAS MOST LIKELY DUE TO THE TRACKING OF THE CO2 THROUGH THE SUBCATANEOUS TISSUE WITH ABSORPTION OF THE CO2 THROUGH THOSE TISSUES INTO THE BLOOD STREAM. THE PCO2 WAS NOTICED WHILE THE BRANCES WERE BEING CUT. THE CASE HAS TO BE CONVERTED TO OPEN IN ORDER TO COMPLETE THE CASE. THE SUBCUTANEOUS EMPHYSEMA RESOLVED THE NEXT DAY. THE PATIENT WAS LAST REPORTED TO BE IN GOOD CONDITION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 52943 | ACHROMATIC SCOPE, 5MM | ENDOSCOPE | GCJ | SCHOLLY FIBEROPTIC GMBH | 11333 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NO INFO | Required Intervention |