BEUDAMED
    FDA Adverse Event Other Summary report: N

    CURLIN ADMINISTRATION SET

    MDR report key: 1893915 · Received November 2, 2010

    Report

    Report Number
    1722139-2010-00098
    Event Type
    Other
    Date Received
    November 2, 2010
    Date of Event
    October 1, 2010
    Report Date
    October 2, 2010
    Manufacturer
    MOOG MEDICAL DEVICES GROUP
    Product Code
    FRN
    PMA / PMN Number
    K981816
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE WAS NOT RETURNED FOR EVAL. THE LOT NUMBER WAS NOT PROVIDED. THIS COMPLAINT WAS NOT CONFIRMED.

    Description of Event or Problem · 1

    AS REPORTED: PT REPORTED THERE WAS A SLICE IN THE TUBING, IT WAS LEAKING AND THE MEDICATION DID NOT FLOW PROPERLY. NO INJURY OCCURRED AS A RESULT OF THIS COMPLAINTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CURLIN ADMINISTRATION SET FRN MOOG MEDICAL DEVICES GROUP 340-4114 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1