FDA Adverse Event
Malfunction
Summary report: N
RUSCH
MDR report key: 2220379
·
Received August 11, 2011
Report
- Report Number
- 2220379
- Event Type
- Malfunction
- Date Received
- August 11, 2011
- Date of Event
- July 6, 2011
- Report Date
- August 11, 2011
- Manufacturer
- TELEFLEX
- Product Code
- KOD
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- WI, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
THE RN WAS PREPARING TO CATHETERIZE A (B) (6) BABY. UPON OPENING THE STERILE PACKAGE, A WIRE WAS NOTED PROTRUDING FROM THE END OF THE CATHETER. IT WAS NOT USED AND THERE WAS NO PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | RUSCH | FOLEY CATHETER | KOD | TELEFLEX | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |