FDA Adverse Event Summary report: N

UNK DY

MDR report key: 1033546 · Received April 23, 2008

Report

Report Number
1317749-2008-00067
Date Received
April 23, 2008
Date of Event
March 17, 2008
Report Date
March 25, 2008
Manufacturer
TYCO HEALTHCARE/KENDALL
Product Code
MPB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, 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. THE CUSTOMER STATED THAT A DIALYSIS CATHETER ADAPTER CRACKED AND CATHETER NEEDED TO BE EXCHANGED. THE PRODUCT NAME AND CODE FOR THIS CATHETER IS UNK, BUT THE CUSTOMER STATED THAT IT WAS A 23CM CATHETER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK DY DIALYSIS CATHETER MPB TYCO HEALTHCARE/KENDALL UNK DY UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK