InjuryFAM
VS-100 STANDARD VIDEO SIGMOIDOSCOPE
Received Oct 29, 2004 · Event occurred Feb 13, 2003
Report 1316463-2004-00012 · MDR key 552595
Device
Generic name
Sigmoidoscope
Manufacturer
Welch Allyn, Inc.Model number
VS-100Catalog number
30500
Lot number
3051950
Product problems
- Unknown (for use when the device problem is not known)
Patient
UNKNOWN
- Abdominal Pain
- Burn(s)
- Hospitalization required
Narrative
Description of Event or Problem
PT UNDERWENT AN ENDOSCOPIC PROCEDURE USING SIGMOIDOSCOPE. POST-PROCEDURE, THE PT COMPLAINED OF SEVERE ABDOMINAL PAIN. THE PT WAS HOSPITALIZED. THE DR BELIEVES THAT THE PT MAY HAVE SUFFERED FROM A GLUTARALDEHYDE BURN IN THE LOWER BOWEL.