FDA Adverse Event Other Summary report: N

N-COMPASS NITINOL TIPLESS STONE EXTRACTOR

MDR report key: 641330 · Received September 27, 2005

Report

Report Number
1825146-2005-00012
Event Type
Other
Date Received
September 27, 2005
Date of Event
July 3, 2005
Manufacturer
COOK UROLOGICAL, INC.
Product Code
FFL
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

"DURING EMERGENCY CYSTOSCOPY RIGHT URETEROSCOPY REMOVAL OF OBSTRUCTED RIGHT URETERAL STENT AND STONE MANIPULATION, THE STONE BASKET BROKE CAUSING PORTION TO BE RETAINED."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 N-COMPASS NITINOL TIPLESS STONE EXTRACTOR STONE EXTRACTOR FFL COOK UROLOGICAL, INC. NA U1243258

Patients

Seq Age Sex Outcome Treatment
1 *