FDA Adverse Event Other Summary report: N

TUNA

MDR report key: 490295 · Received October 15, 2003

Report

Report Number
2950887-2003-00945
Event Type
Other
Date Received
October 15, 2003
Date of Event
September 19, 2003
Report Date
September 24, 2003
Manufacturer
MEDTRONIC GASTROENTEROLOGY/UROLOGY
Product Code
KNS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

FOLLOWING A SUCCESSFUL TUNA PROCEDURE, THE PT PRESENTED TO THE EMERGENCY ROOM WITH SEVERE PAIN AND URINARY RETENTION. EXAMINATION REVEALED OBSTRUCTION OF THE RIGHT URETER AND A STENT WAS PLACED WITH RELIEF OF SYMPTOMS AND NO FURTHER COMPLICATIONS. THE STENT IS SCHEDULED TO BE REMOVED IN ONE WEEK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TUNA EEU KNS MEDTRONIC GASTROENTEROLOGY/UROLOGY 7900TU NA

Patients

Seq Age Sex Outcome Treatment
1 NA Other