BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEMAQUET EXCEL

    MDR report key: 11620 · Received February 18, 1994

    Report

    Report Number
    MW1000832
    Event Type
    Malfunction
    Date Received
    February 18, 1994
    Date of Event
    February 9, 1994
    Report Date
    February 10, 1994
    Manufacturer
    USCI DIV. C.R. BARD, INC.
    Product Code
    DYB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SHEATH VALVE LEAKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEMAQUET EXCEL DYB USCI DIV. C.R. BARD, INC. 09LD0195

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Other