BEUDAMED
    FDA Adverse Event Other Summary report: N

    PYNG

    MDR report key: 747016 · Received October 14, 2005

    Report

    Report Number
    MW1036924
    Event Type
    Other
    Date Received
    October 14, 2005
    Date of Event
    October 11, 2005
    Report Date
    October 14, 2005
    Manufacturer
    PYNG MED CORP
    Product Code
    FMI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PYNG MEDICAL CORP INTRAOSSEOUS INFUSION SYSTEM BROKE WHILE BEING REMOVED FROM STERNUM LEAVING TIP EMBEDDED IN THE PT'S STERNUM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PYNG INTRAOSSEOUS INFUSION SYSTEM FMI PYNG MED CORP 01-0017 03042413

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Other