BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANGLE SILICONE CATHETER, 32 FR

    MDR report key: 17260 · Received October 20, 1994

    Report

    Report Number
    MW1003742
    Event Type
    Malfunction
    Date Received
    October 20, 1994
    Report Date
    October 16, 1994
    Manufacturer
    AXIOM MEDICAL, INC.
    Product Code
    KDQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PORTION OF CHEST TUBE BROKE OFF WHILE REMOVING FROM PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGLE SILICONE CATHETER, 32 FR ANGLE SILICONE CATHETER KDQ AXIOM MEDICAL, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 *