BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    YUEH CENTESIS DISPOSABLE CATHETER NEEDLE

    MDR report key: 12770230 · Received November 8, 2021

    Report

    Report Number
    12770230
    Event Type
    Malfunction
    Date Received
    November 8, 2021
    Date of Event
    October 23, 2021
    Report Date
    November 1, 2021
    Manufacturer
    COOK INCORPORATED
    Product Code
    GCB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    PHYSICIAN WAS REMOVING THE HEAD OF THE YUEH NEEDLE, AND THE HEAD OF IT BROKE OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1672564 YUEH CENTESIS DISPOSABLE CATHETER NEEDLE NEEDLE, CATHETER GCB COOK INCORPORATED G09489

    Patients

    Seq Age Sex Outcome Treatment
    1 20075 DA Male