BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PLEUR-EVAC THORACIC TROCAR CATHETER 20FR

    MDR report key: 1883147 · Received October 19, 2010

    Report

    Report Number
    3004365956-2010-00311
    Event Type
    Malfunction
    Date Received
    October 19, 2010
    Date of Event
    September 1, 2010
    Report Date
    September 30, 2010
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    GCD
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THE SAMPLE IS NOT AVAILABLE FOR INVESTIGATION. THE INVESTIGATION REPORT IS INCOMPLETE AT THIS TIME. A F/U REPORT WILL BE SENT WHEN INVESTIGATION IS COMPLETE.

    Description of Event or Problem · 1

    THE EVENT IS REPORTED AS: COULD NOT GET THE INSIDE TROCAR OUT. NO PT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PLEUR-EVAC THORACIC TROCAR CATHETER 20FR THORACIC TROCAR CATHETER GCD TELEFLEX MEDICAL NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1