FDA.reportPublic FDA data

MAUDE MDR 18384

MDR report key
18384
Report number
MW1004422
Event key
0
Event type
3
Date of event
1994-08-12
Date received
1994-12-14
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
401
Health professional
3
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1CYTOLOGY BURSH, DISPOSABLEUNKNOWNGEECYB-1812293CY010NR

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
11994-12-140

Event Narratives#

D

Patient 1

BRUSH BROKE OFF IN LUNG WHILE OBTAINING SAMPLE. BROKEN BRUSH WAS FOUND AND REMOVED FROM PT.