BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AGILENT TECHNOLOGIES OMNI II TEE TRANSDUCER

    MDR report key: 441739 · Received February 7, 2003

    Report

    Report Number
    3003723454-2003-00027
    Event Type
    Injury
    Date Received
    February 7, 2003
    Date of Event
    January 6, 2003
    Report Date
    January 28, 2003
    Manufacturer
    AGILENT TECHNOLOGIES
    Product Code
    ITX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ESOPHAGUS PERFORATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AGILENT TECHNOLOGIES OMNI II TEE TRANSDUCER 5.0 MHZ OMNI II TEE TRANSDU ITX AGILENT TECHNOLOGIES 21367A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Required Intervention