FDA Adverse Event Injury Summary report: N

WILLIAM HARVEY H130 OPSV

MDR report key: 144562 · Received January 16, 1998

Report

Report Number
1222008-1998-00010
Event Type
Injury
Date Received
January 16, 1998
Date of Event
December 10, 1997
Report Date
December 24, 1997
Manufacturer
BARD VASCULAR SYSTEM
Product Code
MNJ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NM, US
Reporter Occupation
RISK MANAGER

Narratives

Additional Manufacturer Narrative · 1

DEVICE FAILED PERFORMANCE PRESSURE TESTING DUE TO MANUFACTURING PROCESS. A FAILURE INVESTIGATION AND CORRECTIVE PREVENTIVE ACTION IMPLEMENTED: FDA WAS NOTIFIED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 WILLIAM HARVEY H130 OPSV OVERPRESSURE SAFETY VALV MNJ BARD VASCULAR SYSTEM NA 43H9V106

Patients

Seq Age Sex Outcome Treatment
1