FDA Adverse Event
Malfunction
Summary report: N
URODYNAMIC URINARY CATHETER
MDR report key: 11207568
·
Received January 20, 2021
Report
- Report Number
- MW5098931
- Event Type
- Malfunction
- Date Received
- January 20, 2021
- Date of Event
- January 12, 2021
- Report Date
- January 18, 2021
- Manufacturer
- LABORIE MEDICAL TECHNOLOGIES, CANADA ULC
- Product Code
- FEN
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
URODYNAMIC CATHETER MALFUNCTIONED LEADING TO READING HIGH PRESSURES. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 101802 | URODYNAMIC URINARY CATHETER | DEVICE, CYSTOMETRIC, HYDRAULIC | FEN | LABORIE MEDICAL TECHNOLOGIES, CANADA ULC | CAT895 | 192516 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 11 YR |