FDA Adverse Event Malfunction Summary report: N

SOUNDSTAR ECO 8F DIAGNOSTIC ULTRASOUND CATHETER

MDR report key: 11874881 · Received May 25, 2021

Report

Report Number
11874881
Event Type
Malfunction
Date Received
May 25, 2021
Date of Event
May 12, 2021
Report Date
May 13, 2021
Manufacturer
STERILMED, INC.
Product Code
OWQ
UDI-DI
10888551045087
Product Problem
Yes
Report Source
User Facility report
Reporter Location
FL
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

MAGNETIC SENSOR ERROR, DID ENTER THE BODY BUT DID NOT CAUSE HARM, CATHETER EXCHANGED FOR NEW ONE. MAGNETIC SENSOR ERROR ON NEW CATHETER, DID ENTER THE BODY BUT DID NOT CAUSE HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
773213 SOUNDSTAR ECO 8F DIAGNOSTIC ULTRASOUND CATHETER REPROCESSED INTRAVASCULAR ULTRASOUND CATHETER OWQ STERILMED, INC. R10439011 2148301 10888551045087

Patients

Seq Age Sex Outcome Treatment
1 27375 DA