BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CANNULATED AWL

    MDR report key: 1021608 · Received March 25, 2008

    Report

    Report Number
    2242816-2008-00041
    Event Type
    Malfunction
    Date Received
    March 25, 2008
    Date of Event
    March 7, 2008
    Report Date
    March 17, 2008
    Manufacturer
    EBI
    Product Code
    HWJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE TIP OF THE CANNULATED AWL BROKE DURING USE. X-RAY DID NOT DETECT ANY FRAGMENTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CANNULATED AWL HWJ EBI

    Patients

    Seq Age Sex Outcome Treatment
    1