FDA Adverse Event
Malfunction
Summary report: N
CENTRAL LINE KIT
MDR report key: 13860476
·
Received March 23, 2022
Report
- Report Number
- 13860476
- Event Type
- Malfunction
- Date Received
- March 23, 2022
- Date of Event
- March 7, 2022
- Report Date
- March 10, 2022
- Manufacturer
- STRADIS HEALTHCARE
- Product Code
- LRO
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CT
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
CENTRAL LINE KITS ARE MISSING CLAVES. MULTIPLE KITS HAVE BEEN IDENTIFIED AND PULLED FROM CIRCULATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 562104 | CENTRAL LINE KIT | GENERAL SURGERY TRAY | LRO | STRADIS HEALTHCARE | 211112719 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |