FDA Adverse Event Malfunction Summary report: N

CRITICATH

MDR report key: 1052843 · Received May 27, 2008

Report

Report Number
8020616-2008-00023
Event Type
Malfunction
Date Received
May 27, 2008
Date of Event
May 8, 2008
Report Date
May 9, 2008
Manufacturer
BECTON DICKINSON CRITICAL CARE SYSTEMS PTE LTD.
Product Code
DYG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLE WAS RECEIVED ON 20 MAY 2008. ADD'L INFO HAS BEEN REQUESTED. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. (B) (4). (B) (4).

Description of Event or Problem · 1

THE THERMISTOR CABLE BROKE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CRITICATH THERMODILUTION CATHETER DYG BECTON DICKINSON CRITICAL CARE SYSTEMS PTE LTD. SP5107 801195

Patients

Seq Age Sex Outcome Treatment
1 UNK