BEUDAMED
    FDA Adverse Event Summary report: N

    DEXIDE

    MDR report key: 53186 · Received November 22, 1996

    Report

    Report Number
    53186
    Date Received
    November 22, 1996
    Date of Event
    November 22, 1996
    Report Date
    November 22, 1996
    Manufacturer
    DEXIDE CORP.
    Product Code
    FHP
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE PT HAD A PELVIC TUBAL LIGATION ON 10/4/96. THE PT WAS READMITTED WITH ABDOMINAL PAIN/FOREIGN BODY ON 11/22/96. THE SHAFT OF THE PENUMO-NEEDLE USED IN THE 10/4/96 SURGERY HAD BROKEN OFF IN THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEXIDE Implant PNEUMO-NEEDLE #210-12 FHP DEXIDE CORP. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 25 YR