FDA Adverse Event Other Summary report: N

HOUSE-PAPERELLA CUR, DBL-ENDED

MDR report key: 586717 · Received March 30, 2005

Report

Report Number
1423507-2005-00048
Event Type
Other
Date Received
March 30, 2005
Date of Event
March 1, 2005
Report Date
March 30, 2005
Manufacturer
CARDINAL HEALTH
Product Code
JYG
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

WHILE DOING SURGERY, THE TIP BROKE OFF IN THE PT'S EAR. THE PHYSICIAN WAS ABLE TO RETRIEVE BROKEN PART. DR WAS USING THE HOUSE-PAPARELLA CURELLE TO CURELLE THE PATIENT'S EAR WHEN THE END BROKE OFF. HE RETRIEVED THE BROKEN PIECE WITH FORCEPTS. THE PT DID NOT REQUIRE ANY MEDICAL OR SURGICAL INTERVENTION AS A RESULT OF THIS INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HOUSE-PAPERELLA CUR, DBL-ENDED CURETTE JYG CARDINAL HEALTH AU13720 A09

Patients

Seq Age Sex Outcome Treatment
1 19 YR Other