MalfunctionFCE
RITE AID DELUXE COMBINATION SYRINGE
Received Oct 29, 1996 · Event occurred Jul 4, 1996
Report 1528738-1996-00018 · MDR key 47194
Device
Generic name
78 Fce Kit, Enema
Manufacturer
Ross Products Div., Abbott LaboratoriesModel number
2673-02Catalog number
NA
Lot number
UNK
Product problems
- Tip breakage
Patient
94 YR
- Obstruction/Occlusion
Narrative
Description of Event or Problem
PT WAS USING THE DEVICE WHEN THE SYRINGE PIPE BROKE OFF AND BECAME LODGED IN THE RECTUM. THE PT WAS TRANSPORTED TO THE HOSP FOR REMOVAL. THE PT WAS X-RAYED TO LOCATE THE PIPE. IT WAS REMOVED NONSURGICALLY, AND THE PT WAS SENT HOME THAT DAY. PT IS DOING FINE. THERE WAS NO ILLNESS, INJURY OR MEDICAL INTERVENTION RESULTING FROM THE EVENT. ONE PT INVOLVED.