inforMED
InjuryHAM

FILSHIE

Received May 23, 2005 · Event occurred Apr 21, 2005

Report 1216677-2005-00012 · MDR key 606238

Device

Generic name

Applicator

Manufacturer

Femcare

Model number

AVM-856

Catalog number

*

Lot number

*

Product problems

  • Tip breakage

Patient

*

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

DURING A TUBAL LIGATION, THE TIP OF THE APPLICATOR BROKE. THE FALOPIAN TUBES WERE TIED. PT HAS NO COMPLICATIONS.