inforMED
MalfunctionFDX

URETERAL BRUSH BIOPSY SET

Received Nov 28, 2018 · Event occurred Mar 7, 2015

Report 1820334-2018-03564 · MDR key 8111133

Device

Generic name

Fdx Endoscopic Cytology Brush

Manufacturer

Cook Inc

Model number

NA

Catalog number

040000

Lot number

4981890

Product problems

  • Unraveled Material
  • Material Twisted/Bent

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

THIS MDR IS BEING FILED AFTER THE ASSOCIATED COMPLAINT WAS REVIEWED UNDER REMEDIATION PROTOCOL (B)(4), COMPLAINT/MDR RETROSPECTIVE REVIEW AND REMEDIATION AND REASSESSED AS REPORTABLE. ADDITIONAL COMPLAINT INVESTIGATION AND RECORD REMEDIATION WAS NOT PERFORMED.

Description of Event or Problem

IT WAS REPORTED THAT WHEN THE USER OPENED THE PACKAGE, IT WAS NOTED THAT THE TIP OF URETERAL BRUSH WAS BENT. IT WAS FURTHER NOTED THAT THE COIL HAD BEEN UNWOVEN AND WAS IN A DAMAGED STATE. ANOTHER DEVICE WAS USED INSTEAD, AND THE PROCEDURE WAS COMPLETED.