BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SIEMENS

    MDR report key: 52133 · Received August 8, 1996

    Report

    Report Number
    52133
    Event Type
    Injury
    Date Received
    August 8, 1996
    Date of Event
    February 23, 1996
    Report Date
    March 13, 1996
    Manufacturer
    SIEMENS
    Product Code
    FFK
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    STENT TO BE PLACED IN SOLITARY KIDNEY TO BLAST STONE. PT HAD MUCH PAIN. CT SCAN SHOWED A GIANT MACERATED HEMATOMA WHERE THE KIDNEY USED TO BE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIEMENS LITHOSTAR FFK SIEMENS 8799009 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Hospitalization| O