BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SMITH'S CADD CASSETTES

    MDR report key: 1802914 · Received August 11, 2010

    Report

    Report Number
    MW5017081
    Event Type
    Injury
    Date Received
    August 11, 2010
    Date of Event
    July 29, 2010
    Report Date
    August 11, 2010
    Manufacturer
    SMITH'S MEDICAL
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT COULD NOT REMOVE AIR BUBBLES FROM BOTTOM OF CASSETTE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SMITH'S CADD CASSETTES 100ML CADD CASSETTE FPA SMITH'S MEDICAL 187X10

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Disability