FDA Adverse Event Other Summary report: N

BD DTX PLUS TRANSDUCER WITH PRESSURE MONITORING SET

MDR report key: 1553130 · Received December 4, 2009

Report

Report Number
8020616-2009-00022
Event Type
Other
Date Received
December 4, 2009
Date of Event
January 1, 2009
Report Date
November 17, 2009
Manufacturer
BECTON DICKINSON CRITICAL CARE SYSTEMS PTE LTD.
Product Code
DXN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ADD'L INFO HAS BEEN REQUESTED FROM THE REPORTER. THE SAMPLE HAS NOT BEEN RECEIVED AT THIS TIME. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. (B)(4).

Description of Event or Problem · 1

THE DEVICE BROKE ON THE PORT LINE SIDE THAT INFUSES THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BD DTX PLUS TRANSDUCER WITH PRESSURE MONITORING SET DISPOSABLE PRESSURE TRANSDUCER WITH PRESSURE MONITORING SET DXN BECTON DICKINSON CRITICAL CARE SYSTEMS PTE LTD. DT-4812 UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Other