BEUDAMED
    FDA Adverse Event Other Summary report: N

    BARD

    MDR report key: 797305 · Received December 20, 2006

    Report

    Report Number
    MW1041402
    Event Type
    Other
    Date Received
    December 20, 2006
    Date of Event
    October 12, 2006
    Report Date
    December 20, 2006
    Manufacturer
    C.R. BARD, INC
    Product Code
    FFL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING URETEROSCOPY, A STONE BECAME TRAPPED INSIDE THE STONE BASKET. THE SURGEON NEEDED TO CUT THE BASKET OFF THE WIRE. THE BASKET AND STONE REMAINED IN THE PATIENT. A STENT WAS PLACED. THE PATIENT WAS SCHEDULED FOR A REPEAT URETEROSCOPY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD STONE BASKET FFL C.R. BARD, INC * *

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Other