FDA Adverse Event Other Summary report: N

TUNA

MDR report key: 512343 · Received February 17, 2004

Report

Report Number
2950887-2004-00201
Event Type
Other
Date Received
February 17, 2004
Date of Event
February 11, 2004
Report Date
February 11, 2004
Manufacturer
MEDTRONIC GASTROENTEROLOGY/UROLOGY
Product Code
KNS
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE HCP REPORTED THAT THE PT UNDERWENT A TUNA PROCEDURE IN JAN. 2004, WHICH WAS PERFORMED SUCCESSFULLY WITH NO COMPLICATIONS. ON FOLLOW-UP EXAMINATION THREE WEEKS LATER, PT PRESENTED WITH A RESISTANT PSEUDOMONAS URINARY TRACT INFECTION. THE PT WAS HOSPITALIZED AND TREATED WITH IV ANTIBIOTICS.

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 UNKNOWN Hospitalization| O EEA MODEL 1900TU LOT# UNK IMP: UNK,| EXP: UNK.