FDA Adverse Event Malfunction Summary report: N

GROSHONG 8 FR S/L CV CATHETER

MDR report key: 1230853 · Received November 6, 2008

Report

Report Number
3006260740-2008-00190
Event Type
Malfunction
Date Received
November 6, 2008
Date of Event
October 13, 2008
Report Date
October 13, 2008
Manufacturer
C. R. BARD INC. (BASD)
Product Code
LJS
PMA / PMN Number
K831386
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE MFR HAS RECEIVED THE SAMPLE AND WILL BE EVALUATED. RESULTS ARE EXPECTED SOON.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHEN THE CATHETER WAS REMOVED, THE CUFF WAS MISSING, IT IS NOT SURE WHERE THE CUFF IS. THE PT HAS BEEN FINE. IT'S BEEN DOCUMENTED IN THE PTS NOTES THAT THE CUFF WAS NOT REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GROSHONG 8 FR S/L CV CATHETER LJS C. R. BARD INC. (BASD) RERA0249

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention