BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NOT KNOWN

    MDR report key: 466758 · Received June 13, 2003

    Report

    Report Number
    MW1028720
    Event Type
    Injury
    Date Received
    June 13, 2003
    Date of Event
    April 18, 2003
    Report Date
    June 13, 2003
    Manufacturer
    UNK
    Product Code
    BZH
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PT HAD ABDOMINAL SURGERY IN 2002. PT GETS ALLERGY SHOTS EVERY OTHER WEEK. PT HAD AN ALLERGIST APPOINTMENT TO RENEW USAGE OF INHALERS. WHILE AT THE DR'S OFFICE AND WHILE DOING THE PEAK FLOW METER. PT FELT POP 4X AND A RUSH OF GAS IN THEIR ABDOMEN. PT HAS BEEN IN HORRIBLE PAIN EVER SINCE. THEIR CLIPS MAY HAVE MOVED. THEIR HERNIAS MAY HAVE REPOPPED. THE SURGERY DOCTORS KEEP TELLING TO THE PT TO GO TO SOMEONE ELSE. PT WENT TO THE THE E.R. TWICE. PT FEELS LIKE SHRAPNEL IS IN THEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NOT KNOWN PEAK FLOW METER BZH UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Hospitalization| O