InjuryDYN
ORAL SALIVA EJECTORS-NON REMOVABLE TIP
Received Mar 23, 2010 · Event occurred Mar 19, 2010
Report MW5015276 · MDR key 1639140
Device
Generic name
Oral Saliva / Oral Suction Catheter
Manufacturer
Atlanta Dental AupplyModel number
0002-SEWCatalog number
0002-SEW
Product problems
- Detachment Of Device Component
- Component Falling
Patient
55 YR
- No Information
Narrative
Description of Event or Problem
DURING ENDOSCOPIC PROCEDURE, TIP OF ORAL SUCTION CATHETER FELL OFF WHILE BEING USED TO SUCTION PATIENT. TIP LODGED IN HYPOPHARYNX REQUIRING RETRIEVAL. IMMEDIATELY UPON DISCOVERY OF MISSING TIP, ENDOSCOPY PERFORMED TO RETRIEVE TIP.