InjuryEZM
OLYMPUS
Received May 21, 2001 · Event occurred Mar 8, 2001
Report 9611174-2001-00001 · MDR key 336004
Device
Generic name
2 Metre Esophageal Guide Wire
Manufacturer
Keymed (medical & Industrial Equipment), Ltd.Model number
55391ACatalog number
7002718
Lot number
138175 (SUSPECTED)
Product problems
- Source, detachment from
- Tip breakage
Patient
UNKNOWN
- Internal Organ Perforation
- Surgical procedure
- Therapy/non-surgical treatment, additional
Narrative
Description of Event or Problem
REPORTED THAT THE FLEXIBLE TIP FROM AN ESOPHAGEAL GUIDE WIRE BECAME DETACHED DURING AN ESOPHAGEAL DILATATION AT THE MEMORIAL MEDICAL CENTER, PORT LAVACA TX, AND THE REMAINING WIRE PERFORATED THE PATIENT'S DUODENUM. THE PT WAS REFERRED TO ANOTHER HOSPITAL FOR SURGERY.