MalfunctionDYN
PREMIUM
Received Dec 18, 2014 · Event occurred Oct 20, 2014
Report 4371917 · MDR key 4371917
Device
Generic name
Saliva Ejector Suction Catheter
Manufacturer
Crosstex International, Inc.Model number
*Catalog number
ZCB
Lot number
07/08/14 3
Product problems
- Detachment Of Device Component
Patient
43 YR
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
DURING AN ESOPHAGOGASTRODUODENOSCOPY (EGD) THE CLINICIAN WAS SUCTIONING THE PATIENT'S MOUTH AND DISCOVERED THE TIP OF THE ORAL SUCTION CATHETER HAD COME OFF INTO THE MOUTH OF THE PATIENT. THE PHYSICIAN WAS ABLE TO RETRIEVE THE PLASTIC TIP WITHOUT INCIDENT OR HARM TO THE PATIENT.