FDA Adverse Event
Malfunction
Summary report: N
UMBILICAL CLAMP
MDR report key: 145622
·
Received January 20, 1998
Report
- Report Number
- 1648571-1998-00002
- Event Type
- Malfunction
- Date Received
- January 20, 1998
- Report Date
- January 16, 1998
- Manufacturer
- QFC PLASTICS
- Product Code
- HFW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MT, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
ONE BABY WITH THIN UMBILICAL CORD WAS CLAMPED BUT THE CORD ALMOST SLIPPED OUT OF THE CLAMP. THE FACILITY WAS ABLE TO CATCH IT IN TIME SO THERE WAS NO BLEEDING AND NO TESTING WAS REQUIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UMBILICAL CLAMP | UMBILICAL CLAMP | HFW | QFC PLASTICS | QFC-650 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Required Intervention |