inforMED
MalfunctionFBO

INNER SHEATH ONLY

Received Jan 29, 2020 · Event occurred Oct 28, 2019

Report 9610617-2020-00012 · MDR key 9645089

Device

Generic name

Inner Sheath

Model number

27050CA

Lot number

UNKNOWN

Product problems

  • Material Fragmentation

Patient

68 YR

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

PER THE CUSTOMER, THE ITEM WILL NOT BE RETURNED FOR EVALUATION AT THIS TIME.

Description of Event or Problem

PER MEDWATCH REPORT, #MW5091908, RECEIVED ON1/6/2020, DURING A BILATERAL LITHOTRIPSY WITH LEFT URETERAL STENT PLACEMENT PROCEDURE, THE PHYSICIAN NOTICED THE GRAY TIP WAS FRAGMENTED DURING USE. HE FOUND 2 PIECES WHICH WERE RETRIEVED FROM THE PATIENT. THE INSTRUMENT WAS EXCHANGED OUT AND THE PROCEDURE WAS COMPLETED WITH NO HARM TO THE PATIENT. THEY USED FLUOROSCOPY TO ENSURE NO ADDITIONAL PIECES WERE LEFT INSIDE THE PATIENT.