BEUDAMED
    FDA Adverse Event Other Summary report: N

    SHILEY-COVIDIEN 3.0 PED

    MDR report key: 1344456 · Received March 16, 2009

    Report

    Report Number
    MW5010329
    Event Type
    Other
    Date Received
    March 16, 2009
    Report Date
    March 11, 2009
    Manufacturer
    TYCO HEALTHCARE
    Product Code
    BTO
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PRODUCT PULLED FROM INVENTORY. RECALL LOT# 0806000266.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHILEY-COVIDIEN 3.0 PED NONE BTO TYCO HEALTHCARE PED 3 0806000266

    Patients

    Seq Age Sex Outcome Treatment
    1 NA SHILEY 3.0 PED TRACH TUBE| RECALL LOT# 0806000266