BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PRESSURE MONITORING SET

    MDR report key: 1012569 · Received March 12, 2008

    Report

    Report Number
    1820334-2008-00133
    Event Type
    Injury
    Date Received
    March 12, 2008
    Date of Event
    February 12, 2008
    Report Date
    February 12, 2008
    Manufacturer
    COOK, INC.
    Product Code
    DQO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    EVALUATION: THIS EVENT IS STILL UNDER INVESTIGATION.

    Description of Event or Problem · 1

    CATHETER SEPARATED AT THE HUB. PATIENT WAS TAKEN TO RADIOLOGY TO HAVE THE CATHETER RETRIEVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRESSURE MONITORING SET DQO CENTRAL VENOUS CATHETER SET DQO COOK, INC. NA 1914772

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention