FDA Adverse Event Malfunction Summary report: N

1219930ERINE CURETTE SIZE #3

MDR report key: 81080 · Received April 2, 1997

Report

Report Number
1423537-1997-00059
Event Type
Malfunction
Date Received
April 2, 1997
Report Date
April 2, 1997
Manufacturer
ALLEGIANCE-SURGICAL GRP
Product Code
HCY
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

ACCOUNT REPORTED THAT DURING A D & C PROCEDURE THE TIP OF THE CURETTE FRACTURED OFF INTO THE PT'S UTERUS. THE PHYSICIAN USED AN INTRAUTERINE GRASPING FORCEPS TO REMOVE THE CURETTE TIP FROM THE PT'S UTERUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 1219930ERINE CURETTE SIZE #3 1996INE CURETTE HCY ALLEGIANCE-SURGICAL GRP GL 1600-003 P

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other