FDA Adverse Event
Malfunction
Summary report: N
KIRWAN DISPOSABLE BIPOLAR CABLE
MDR report key: 1668675
·
Received April 22, 2010
Report
- Report Number
- MW5015672
- Event Type
- Malfunction
- Date Received
- April 22, 2010
- Date of Event
- April 22, 2010
- Report Date
- April 22, 2010
- Manufacturer
- KIRWAN
- Product Code
- HIN
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
LOT 0111110 CORDS DIFFICULT TO PLUG INTO VALLEYLAB MACHINE. FORWARDING 5 TO KIRWAN FOR EVAL. (B) (6)
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | KIRWAN DISPOSABLE BIPOLAR CABLE | DISPOSABLE BIPOLAR CABLE | HIN | KIRWAN | 011110 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |