FDA Adverse Event No answer provided Summary report: N

VIZIGO

MDR report key: 13117589 · Received December 30, 2021

Report

Report Number
13117589
Event Type
No answer provided
Date Received
December 30, 2021
Date of Event
November 23, 2021
Report Date
December 10, 2021
Manufacturer
BIOSENSE WEBSTER INC.
Product Code
DYB
Report Source
User Facility report
Reporter Location
CT
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

DURING PREPARATION OF THE SHEATH, THE DILATOR WOULD NOT PASS THROUGH THE SHEATH. THE SHEATH WAS REMOVED AND REPLACED WITH A NEW SHEATH. THERE WAS NO HARM TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2018360 VIZIGO INTRODUCER, CATHETER DYB BIOSENSE WEBSTER INC. D138502 1814

Patients

Seq Age Sex Outcome Treatment
1 Unknown