FDA Adverse Event
Malfunction
Summary report: N
ROCKET PLEURX CATHETER
MDR report key: 19959798
·
Received August 12, 2024
Report
- Report Number
- 19959798
- Event Type
- Malfunction
- Date Received
- August 12, 2024
- Date of Event
- July 18, 2024
- Report Date
- July 22, 2024
- Manufacturer
- ROCKET MEDICAL PLC
- Product Code
- DWM
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CT
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
DURING REMOVAL OF ROCKET PLEURX CATHETER, THE CATHETER FRACTURED AT THE LEVEL OF THE PROXIMAL CUFF. THE REMAINING CATHETER WAS REMOVED WITH TIP INTACT. FOLLOW UP CXR DEMONSTRATED COMPLETE REMOVAL. PRODUCT IS WITH MANAGER OF DEPARTMENT AT TIME OF THIS REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2027739 | ROCKET PLEURX CATHETER | APPARATUS, SUCTION, PATIENT CARE | DWM | ROCKET MEDICAL PLC | 499949 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 2 MO | Male |