BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ROUND TIP URETERAL CATHETER

    MDR report key: 507755 · Received January 20, 2004

    Report

    Report Number
    1825146-2004-00002
    Event Type
    Injury
    Date Received
    January 20, 2004
    Manufacturer
    COOK UROLOGICAL, INC.
    Product Code
    EYB
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TIP OF CATHETER BROKE OFF IN PT AND HAD TO BE REMOVED SURGICALLY. AFTER ABDOMINAL HYSTERECTOMY WAS PERFORMED, THE URETERAL CATHETER WAS REMOVED POST-OPERATIVELY, DR. NOTED THAT THE LEFT CATHETER HAD BROKEN OFF AND PART OF IT REMAINED IN THE PT. DR. PERFORMED A CYSTSCOPY AND WAS ABLE TO RETRIEVE THE REMAINING PIECE OF CATHETER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ROUND TIP URETERAL CATHETER URETERAL CATHETER EYB COOK UROLOGICAL, INC. NA U1090508

    Patients

    Seq Age Sex Outcome Treatment
    1 *