InjuryGBL
COOK MEDICAL OPEN ENDED URETER CATHETER
Received Aug 5, 2019 · Event occurred Jul 29, 2019
Report MW5088794 · MDR key 8865568
Device
Product problems
- Break
Patient
5 YR
- No Consequences Or Impact To Patient
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
PRIOR TO INSERTION OF DEVICE INTO R URETER, NO VISIBLE ISSUE WITH CATHETER. HOWEVER, ONE CATHETER REMOVED FROM PT, DR (B)(6) NOTICED THE TIP WAS NOT INTACT. PER CYSTOSCOPY THAT WAS ACTIVELY IN USE, DR AND STAFF COULD VIEW REMAINING PIECE OF TIP IN R URETER. WITH STERILE GRASPERS, DR WAS ABLE TO RETRIEVE REMAINING PIECE OF BROKEN CATHETER. NO OTHER PIECES VISUALIZED ON CYSTOSCOPY; 70CM ACCOUNTED FOR WHEN MEASURED. PIECES SENT TO OPERATING ROOM SUPV. NO INJURIES SEEN AT THIS TIME.