FDA Adverse Event Other Summary report: N

DUPEN EPIDURAL CATHETER

MDR report key: 16231 · Received June 14, 1994

Report

Report Number
16231
Event Type
Other
Date Received
June 14, 1994
Date of Event
June 13, 1994
Report Date
June 14, 1994
Manufacturer
DAVOL, INC.
Product Code
BSO
Report Source
User Facility report
Reporter Location
IN, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

INITIAL INSERTION OF CATHETER 10/28/93. REMOVAL OF CATHETER DONE IN SURGERY. PT'S PHYSICIAN STATED CATHETER REMOVAL NECESSARY DUE TO PT'S NONCOMPLIANCE, WOULD DISCONNECT CATHETER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DUPEN EPIDURAL CATHETER Implant EPIDURAL CATHETER BSO DAVOL, INC. 60290-2 36AD1871

Patients

Seq Age Sex Outcome Treatment
1 46 YR Other