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 |