BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BARD

    MDR report key: 1101794 · Received July 29, 2008

    Report

    Report Number
    1101794
    Event Type
    Malfunction
    Date Received
    July 29, 2008
    Date of Event
    July 25, 2008
    Report Date
    July 25, 2008
    Manufacturer
    BARD
    Product Code
    LJT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    MD SUSPECTED THE CATHETER WAS FRACTURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD BARDPORT LJT BARD 0604970 RESE0119

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR