InjuryFCH
ENDOCHOICE
Received Feb 15, 2018 · Event occurred Jan 16, 2018
Report MW5075303 · MDR key 7276141
Device
Generic name
Tray, Biopsy, Without Biopsy Instruments
Manufacturer
Boston Scientific/ EndochoiceModel number
205644Catalog number
0100840253113337
Lot number
205644
Product problems
- Break
Patient
78 YR
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
ENDOCHOISE COMPLIANCE ENDOKIT HEDGEHOG DUAL END BRUSH REF CEK-721-20 LOT 205644 EXP 08/2019. BRUSH END BROKE OFF AND REMAINED LODGED IN ENDOSCOPE.