FDA Adverse Event Injury Summary report: N

UNK

MDR report key: 38693 · Received September 5, 1996

Report

Report Number
38693
Event Type
Injury
Date Received
September 5, 1996
Date of Event
September 2, 1996
Report Date
September 5, 1996
Manufacturer
SKLAR INSTRUMENTS
Product Code
HFX
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
SC, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

DURING ELECTIVE CIRCUMCISION OF ONE-DAY OLD BABY, TIP OF GLANS PENIS WITH MEATUS WAS ACCIDENTALLY AMPUTATED. UROLOGY AND PLASTIC SURGERY CONSULTS WERE OBTAINED IMMEDIATLEY. BABY WAS TAKEN TO SURGERY FOR RE-ATTACHMENT OF PENILE TISSUE AND REANASTOMOSIS OF THE URETHRA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK MOGEN CLAMP HFX SKLAR INSTRUMENTS UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 1 DAY Required Intervention