BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 79033 · Received March 17, 1997

    Report

    Report Number
    79033
    Event Type
    Injury
    Date Received
    March 17, 1997
    Date of Event
    February 28, 1997
    Report Date
    March 11, 1997
    Manufacturer
    STORZ
    Product Code
    JYY
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NE, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MICRORASP USED DURING TYMPANOMASTOIDECTOMY LEFT EAR CANAL. 1 MM PIECE NOT RECOVERED. PT D/C WITHOUT EVER LOCATING PIECE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * * JYY STORZ N1705-83J *

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR Required Intervention