BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TELEFLEX

    MDR report key: 2446089 · Received February 3, 2012

    Report

    Report Number
    MW5024182
    Event Type
    Malfunction
    Date Received
    February 3, 2012
    Date of Event
    February 3, 2012
    Report Date
    February 3, 2012
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    JOL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ATTEMPT TO PLACE #20 TROCAR CHEST TUBE TWICE, PRODUCT TIP WOULD NOT ALLOW SURGEON TO SUCCESSFULLY PLACE TUBE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TELEFLEX #20 THORACIC TROCAR JOL TELEFLEX MEDICAL REF DTRC205 024102039

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR