BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EURO-MED

    MDR report key: 444310 · Received February 18, 2003

    Report

    Report Number
    1216677-2002-00011
    Event Type
    Injury
    Date Received
    February 18, 2003
    Date of Event
    November 15, 2002
    Report Date
    February 18, 2003
    Manufacturer
    COOPERSURGICAL, INC.
    Product Code
    EME
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    BIOPSY PUNCH TIP BROKE OFF INSIDE THE PATIENT. THE DOCTOR HAD TO REMOVE THE BROKEN PIECE MANUALLY (FORCEPS OR FINGERS). THERE WAS NO PATIENT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EURO-MED KEVORKIAN BIOPSY TIP EME COOPERSURGICAL, INC. 64-488 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention