BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CARDINAL HEALTH

    MDR report key: 1604094 · Received February 8, 2010

    Report

    Report Number
    MW5014750
    Event Type
    Malfunction
    Date Received
    February 8, 2010
    Date of Event
    December 22, 2009
    Report Date
    February 8, 2010
    Manufacturer
    CARDINAL HEALTH
    Product Code
    KDQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CENTESIS CATHETER PLACED AND LEAKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CARDINAL HEALTH CENTESIS CATHETER PIG1260T KDQ CARDINAL HEALTH 191218

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR