FDA Adverse Event Other Summary report: N

NEOSTAR CENTRAL VENOUS CATHETER

MDR report key: 1215640 · Received October 20, 2008

Report

Report Number
1056436-2006-00083
Event Type
Other
Date Received
October 20, 2008
Date of Event
November 29, 2006
Report Date
October 15, 2008
Manufacturer
ANGIODYNAMICS, INC.
Product Code
DQO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINT, "CUFF SLIDING UP AND DOWN", WAS CONFIRMED. THE CAUSE OF THE CUFF SLING UP AND DOWN MAY HAVE BEEN DUE TO AN INADEQUATE AMOUNT OF ADHESIVE APPLIED TO THE CUFF DURING THE MANUFACTURING PROCESS. NO MANUFACTURING VARIANCES WERE OBSERVED RELATED TO THIS EVENT DURING THE DEVICE HISTORY RECORD REVIEW. A CORRECTIVE ACTION WAS IMPLEMENTED TO CORRECT THIS ISSUE.

Description of Event or Problem · 1

CUFF FAILED...CUFF SLIDING UP AND DOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEOSTAR CENTRAL VENOUS CATHETER CHRONIC CVC CATHETER DQO ANGIODYNAMICS, INC. NA 28207

Patients

Seq Age Sex Outcome Treatment
1 UNK Other