FDA Adverse Event Injury Summary report: N

SMITH AND NEPHEW TRUCLEAR ROTARY MORCELLATOR

MDR report key: 4101997 · Received September 19, 2014

Report

Report Number
4101997
Event Type
Injury
Date Received
September 19, 2014
Date of Event
August 29, 2014
Report Date
September 18, 2014
Manufacturer
SMITH AND NEPHEW INC.
Product Code
HIH
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MI, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

THE PATIENT WAS IN THE ROOM FOR A TRUCLEAR HYSTEROSCOPY WITH DR. WHILE PERFORMING THE PROCEDURE A SHINY OBJECT WAS NOTED FLOATING IN VISUAL FIELD. THE OBJECT WAS OBTAINED THROUGH SUCTION AND EVACUATED FROM UTERUS PER DR. SMITH AND NEPHEW REPRESENTATIVE, (B)(4), WAS IN ROOM AND ALLERTED OF THE ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
582767 SMITH AND NEPHEW TRUCLEAR ROTARY MORCELLATOR ROTARY MORCELLATOR HIH SMITH AND NEPHEW INC. 7209509 C43618

Patients

Seq Age Sex Outcome Treatment
1 46 YR Hospitalization