inforMED
OtherEPE

PROVOX BRUSH

Received Oct 10, 2007 · Event occurred Jun 30, 2006

Report 8032044-2007-00016 · MDR key 924691

Device

Generic name

Cleaning Brush For Voice Prosthesis

Manufacturer

Atos Medical Ab

Model number

PROVOX BRUSH

Catalog number

7204

Lot number

0502005 (UNCERTAIN)

Product problems

  • Foreign material

Patient

YR

  • Foreign body, removal of
  • Therapy/non-surgical treatment, additional

Narrative

Description of Event or Problem

DURING A PT MEETING IN ANOTHER COUNTRY, A PT INFORMED OUR REP THAT HE SOME TIME AGO HAD SOME LUNG PROBLEMS AND WENT TO SEE A DOCTOR. X-RAY REVEALED A PROVOX BRUSH IN THE LUNG WHICH CONSEQUENTLY WAS REMOVED. THE PT DID NOT FEEL ANY DISCOMFORT AFTERWARDS. OUR REP FORWARDED THE INFO TO US AS A COMPLAINT.

Additional Manufacturer Narrative

INSTRUCTIONS FOR USE HAVE BEEN EXAMINED AND CORRECT HANDLING IS CLEARLY DESCRIBED. IN ORDER TO DROP THE BRUSH INTO THE TRACHEA, IT MUST BE USED COMPLETELY IN VIOLATION WITH THE INSTRUCTIONS FOR USE. THE HOSPITAL HAS DONE THE SAME ASSESSMENT OF THE EVENT AND THEY HAVE NOT REPORTED IT TO THE AUTHORITIES. THE PT HAS BEEN INFORMED ON CORRECT USE OF THE BRUSH. CASE HAS BEEN CLOSED. THIS EVENT WAS NOT INITIALLY REPORTED AS AN MDR. DUE TO INCIDENT REPORT 6/29/2007, (MFR #8032044-2007-00009) REVIEW OF FORMER SIMILAR EVENTS WAS DONE AND WE DECIDED TO REPORT THIS ISSUE.

Remedial action

  • Other