BEUDAMED
    FDA Adverse Event Other Summary report: N

    BALLOON PROBE MENU 44C

    MDR report key: 139754 · Received December 20, 1997

    Report

    Report Number
    MW1012685
    Event Type
    Other
    Date Received
    December 20, 1997
    Date of Event
    December 19, 1997
    Report Date
    December 20, 1997
    Manufacturer
    NEW ENGLAND NUCLEAR
    Product Code
    DQO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CONTAMINATION WITH DIAGNOSTIC PRODUCT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BALLOON PROBE MENU 44C Implant ARTERIAL DIAGNOSTIC CATHETER DQO NEW ENGLAND NUCLEAR * *

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Other