BEUDAMED
    FDA Adverse Event Other Summary report: N

    BEST PROBE

    MDR report key: 494032 · Received November 4, 2003

    Report

    Report Number
    1216677-2003-00016
    Event Type
    Other
    Date Received
    November 4, 2003
    Date of Event
    October 13, 2003
    Report Date
    November 3, 2003
    Manufacturer
    COOPERSURGICAL, INC.
    Product Code
    KNS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DURING LAPARASCOPIC SURGERY, THE PROBE TIP BROKE OFF INSIDE THE PATIENT. THERE WAS DIFFICULTY IN CONTROLLING THE BLEEDING AND RETRIEVING THE TIP FROM THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BEST PROBE BIPOLAR ENDOSTATIS PROBE KNS COOPERSURGICAL, INC. 91007 22429

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention