inforMED
InjuryFBO

RICHARD WOLF PEDIATRIC RIGHT ANGLE SCOPE

Received Apr 7, 2020 · Event occurred Mar 20, 2020

Report MW5094069 · MDR key 9934164

Device

Generic name

Cystourethroscope

Model number

8626.431

Product problems

  • Material Fragmentation

Patient

Not reported

  • Device Embedded In Tissue or Plaque
  • Device Embedded In Tissue or Plaque

Narrative

Description of Event or Problem

DURING THE CYSTOSCOPY, IT WAS NOTED THAT THE OPEN ENDED 5 -FRENCH URETERAL CATHETER WAS BEING SHEARED BY THE SCOPE WHEN THE CATHETER WAS BEING WITHDRAWN. TWO SMALL SHAVINGS WERE IN THE BLADDER AS A RESULT OF THIS. THE FRAGMENTS FROM THE 5-FRENCH URETERAL CATHETER WERE IDENTIFIED AND REMOVED IN THEIR ENTIRETY. FDA SAFETY REPORT ID# (B)(4).