BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 525566 · Received April 22, 2004

    Report

    Report Number
    525566
    Event Type
    Injury
    Date Received
    April 22, 2004
    Date of Event
    April 13, 2004
    Report Date
    April 16, 2004
    Manufacturer
    BRYAN CORP
    Product Code
    BSY
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING A RIGID BRONCHOSCOPY, THE BRONCHOSCOPY SUCTION CATHETER BROKE IN THE PT'S BRONCHUS. THE CATHETER WAS RETRIEVED WITHOUT INJURY TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * BRONCHOSCOPY SUCTION CATH BSY BRYAN CORP 4143 BM24199BY

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Required Intervention