MalfunctionGBX
TOTAL ABSCESSION
Received Aug 26, 2021 · Event occurred Jul 19, 2021
Report 12369900 · MDR key 12369900
Device
Product problems
- Device Slipped
Patient
23360 DA
- Insufficient Information
- Insufficient Information
Narrative
Description of Event or Problem
RETROGRADE NEPHROURETERAL STENT INSERTED, DIFFICULT FORMING PIGTAIL IN RENAL PELVIS. EXTERNAL PLASTIC HUB COVER SLIPPED OFF THE CATHETER AND INTO THE PATIENT'S UROSTOMY AS IT IS NOT ATTACHED TO THE CATHETER OTHERWISE. IT WAS EASILY RETRIEVED WITH A BALLOON CATHETER. ANGIODYNAMICS TOTAL ABSCISSION 14 FR X 45 CM CATHETER, LOT #5674652, ALTHOUGH THIS ISSUE IS NOT SPECIFIC TO THIS LOT OR SIZE.