DAMON CUNITI W/STOPS .014X.025 PK10
Received Dec 4, 2024
Report 2016150-2024-00010 · MDR key 20849420
Device
Generic name
Damon Cuniti W/stops .014x.025 Pk10
Manufacturer
Sds De MexicoCatalog number
210-1905
Lot number
081991946
Product problems
- Insufficient Device Problem Information
- Insufficient Device Problem Information
Patient
15 YR · Male
- Pain
- Pain
Narrative
Description of Event or Problem
IT WAS REPORTED A PATIENT SWALLOWED CLIPS WHEN THE ARCH WIRE BROKE. AFTER SWALLOWING PATIENT HAS A PAIN IN THE ESOPHAGUS. THE PRODUCT PASS THROUGH NATURALLY. IN DOCTOR'S OPINION WOULD IT LIKELY CAUSE OR CONTRIBUTE TO A SERIOUS INJURY BECAUSE COULD POSSIBLE INJURY TO THE GASTROINTESTINAL TRACT OR ASPIRATION. PATIENT SEEK MEDICAL ATTENTION WITH A RADIOLOGIST, WAS DIAGNOSIS WITH A FOREIGN BODY IN THE COLON AFTER A X-RAY GASTROINTESTINAL TRACT. PATIENT IS FULLY RECOVERED.
Additional Manufacturer Narrative
THE RETAIN LOT NUMBER WAS NOT AVAILABLE IN THE WAREHOUSE AS THE PRODUCT WAS MANUFACTURED IN 2019. RETAIN SAMPLES FROM 2019 WERE UNAVAILABLE IN COMPLIANCE WITH DC MP 16-10.