BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HUDSON CORR-A-FLEX TUBING - 72"

    MDR report key: 1760851 · Received July 14, 2010

    Report

    Report Number
    3004365956-2010-00131
    Event Type
    Malfunction
    Date Received
    July 14, 2010
    Date of Event
    June 22, 2010
    Report Date
    June 22, 2010
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    BYX
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NH, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    PRODUCT HAS BEEN RECEIVED BY MANUFACTURER, BUT INVESTIGATION REPORT IS INCOMPLETE AT THIS TIME. A FOLLOW-UP INVESTIGATION REPORT WILL BE SENT WHEN COMPLETED.

    Description of Event or Problem · 1

    THE EVENT IS REPORTED AS: HOLES IN CORRUGATED CORR-A-FLEX TUBING. NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HUDSON CORR-A-FLEX TUBING - 72" CORR-A-FLEX TUBING BYX TELEFLEX MEDICAL NA 02L0901386

    Patients

    Seq Age Sex Outcome Treatment
    1