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HU-FRIEDY 13/14L COLUMBIA UNIVERSITY CURETTE

Received Feb 1, 2011 · Event occurred Jan 18, 2011

Report 1416605-2011-00001 · MDR key 1981244

Device

Generic name

Sc13/149

Model number

SC13/149

Catalog number

SC13/149

Lot number

Z9

Product problems

  • Break
  • Detachment Of Device Component
  • Migration or Expulsion of Device
  • Difficult to Remove

Patient

83 YR

  • No Code Available

Narrative

Description of Event or Problem

PT WENT FOR A ROUTINE CLEANING AND DURING THE PROCEDURE THE TIP OF THE INSTRUMENT ((B)(4)) BROKE IN THE PT'S MOUTH AND THE PT SWALLOWED THE TIP. PT WENT TO THE HOSPITAL AFTER THE INCIDENT, THE HOSPITAL PERFORMED AN X-RAY TO CONFIRM THE TIP HAD BEEN SWALLOWED AND SUBSEQUENTLY DID AN ENDOSCOPIC PROCEDURE TO REMOVE THE BROKEN PIECE. DUE TO THE AGE OF THE PT, THE HOSPITAL DID NOT WANT TO WAIT TO SEE IF THE TIP WOULD PASS NATURALLY AND FELT THE NEED TO REMOVE IT.

Additional Manufacturer Narrative

WEIGHT OF PT IS NOT KNOWN, OFFICE WAS NOT ABLE TO PROVIDE THE INFO. (B)(4) DOES NOT TRACK OUR DEVICES, WHICH ARE MOSTLY LOW RISK CLASS 1 DEVICES, BY SERIAL NUMBER, ONLY A LOT # WHICH IS TIED TO THE DATE OF MANUFACTURE. SINCE THE INSTRUMENT WAS NOT RETURNED WE WERE NOT ABLE TO DETERMINE THE LOT NUMBER. THE PRODUCT INVOLVED IN THE EVENT WAS A STAINLESS STEEL INSTRUMENT THAT DOES NOT HAVE AN EXPIRATION DATE. THE DEVICE IS NOT IMPLANTED, THEREFORE IMPLANT/EXPLANT DATES ARE NOT APPLICABLE.

Remedial action

  • Other