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 |