BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARROW INTERNATIONAL, INC.

    MDR report key: 1064249 · Received June 20, 2008

    Report

    Report Number
    MW5007386
    Event Type
    Injury
    Date Received
    June 20, 2008
    Date of Event
    June 18, 2008
    Report Date
    June 20, 2008
    Product Code
    DQO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WIRE STUCK AT TIP OF NEEDLE AND BEGAN TO SHEAR CATHETER. PT VSS, NO COMPLICATIONS NOTED WITH PT. TIP OF WIRE INTACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARROW INTERNATIONAL, INC. CATHETER DQO AK-45802-BSK

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability