BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK TONSIL SNARE WIRE

    MDR report key: 551919 · Received April 23, 2004

    Report

    Report Number
    1423507-2004-00033
    Event Type
    Other
    Date Received
    April 23, 2004
    Report Date
    April 23, 2004
    Manufacturer
    CARDINAL HEALTH
    Product Code
    KZB
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    WHILE REMOVING THE PATIENT'S TONSIL USING A SNARE, THE SNARE WIRE BROKE. ALL OF THE WIRE EXCEPT FOR A SMALL PIECE WAS RETRIEVED. THE PHYSICIAN WAS IMMEDIATELY NOTIFIED THAT A SMALL SEGMENT OF THE SNARE WIRE WAS MISSING. A THOROUGH LARYNGOSCOPY WAS PERFORMED. NO FOREIGN BODY WAS VISUALIZED AND CHEST AND NECK X-RAY WERE NEGATIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK TONSIL SNARE WIRE UNK TONSIL SNARE WIRE KZB CARDINAL HEALTH UNK WIRE UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other