BEUDAMED
    FDA Adverse Event Injury Summary report: N

    5131048

    MDR report key: 5131048 · Received October 7, 2015

    Report

    Report Number
    5131048
    Event Type
    Injury
    Date Received
    October 7, 2015
    Date of Event
    September 24, 2015
    Report Date
    October 1, 2015
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING CORDIS INSERTION, GUIDE WIRE UNRAVELED AND UNKNOWINGLY, A PORTION WAS LEFT IN PATIENT AND NOTED ON XRAY FOR CHEST TUBE REMOVAL POD#1. CONFIRMED BY CT SCAN. RETAINED WIRE FRAGMENT REMOVED.

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Other| R NO