BEUDAMED
    FDA Adverse Event Other Summary report: N

    MAXID 23/40 W/SH SPRT W/VT

    MDR report key: 1023742 · Received March 26, 2008

    Report

    Report Number
    1317749-2008-00057
    Event Type
    Other
    Date Received
    March 26, 2008
    Date of Event
    March 14, 2008
    Report Date
    March 14, 2008
    Manufacturer
    TYCO HEALTHCARE/KENDALL
    Product Code
    MSD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    AN INVESTIGATION IS CURRENTLY UNDER WAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.

    Description of Event or Problem · 1

    IT WAS REPORTED TO TYCO HEALTH CARE/KENDALL IN 2008 THAT A CUSTOMER HAD A PROBLEM WITH A DIALYSIS CATHETER. CUSTOMER STATED THAT A MAHURKAR MAXID IS BROKEN. THE CATHETER HAD TO BE EXCHANGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAXID 23/40 W/SH SPRT W/VT DIALYSIS CATHETER MSD TYCO HEALTHCARE/KENDALL 8888123402 720846

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK