BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EPIDURAL MINIPACK

    MDR report key: 1003353 · Received February 15, 2008

    Report

    Report Number
    1217052-2008-00022
    Event Type
    Injury
    Date Received
    February 15, 2008
    Date of Event
    January 9, 2008
    Report Date
    January 16, 2008
    Manufacturer
    SMITHS MED INT'L LTD.
    Product Code
    CAZ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    UK
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    USER ALLEGES THAT WHEN THEY WENT TO REMOVE THE EPIDURAL CATHETER FROM THE PT, SHE FOUND THE CATHETER MISSING APPROX 8CM. THE CATHETER LOOKED LIKE IT HAD SNAPPED. NO OBVIOUS DETRIMENT TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EPIDURAL MINIPACK AN 73 CAZ - KIT, CONDUCTION ANESTHETIC CAZ SMITHS MED INT'L LTD. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Required Intervention