FDA Adverse Event
Malfunction
Summary report: N
INTRANPLUS IUP-C50
MDR report key: 1195163
·
Received October 9, 2008
Report
- Report Number
- 1195163
- Event Type
- Malfunction
- Date Received
- October 9, 2008
- Date of Event
- September 19, 2008
- Report Date
- October 8, 2008
- Manufacturer
- UTAH MEDICAL PRODUCTS
- Product Code
- KXO
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THIS (B)(6) PT WAS DISCHARGED POST C-SECTION ON (B)(6) 2008. ON (B)(6)2008, THE PT HAD A PIECE OF PLASTIC COME OUT OF HER VAGINA. IT IS THE PIECE OF PLASTIC AROUND THE TIP OF THE IUPC. PER THE MD, THERE IS NO PT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INTRANPLUS IUP-C50 | IUPC | KXO | UTAH MEDICAL PRODUCTS | 1080817 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 38 YR |