FDA Adverse Event Other Summary report: N

REDDICK DEVICE #1

MDR report key: 116081 · Received August 26, 1997

Report

Report Number
1049753-1997-00042
Event Type
Other
Date Received
August 26, 1997
Report Date
August 26, 1997
Manufacturer
IDEAS FOR MEDICINE
Product Code
GBZ
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

EXPERIENCED A PROBLEM WITH STOPCOCK TO CATHETER JOINT BREAKAGE. PROBLEM OCCURRED DURING SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 REDDICK DEVICE #1 CHOLANGIOGRAM CATHETER WITH INTRODUCER GBZ IDEAS FOR MEDICINE UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 * Hospitalization