BEUDAMED
    FDA Adverse Event Other Summary report: N

    4MM VACUUM ASPIRATION CATHETER

    MDR report key: 2760231 · Received August 7, 2006

    Report

    Report Number
    9610632-2006-00001
    Event Type
    Other
    Date Received
    August 7, 2006
    Date of Event
    June 17, 2006
    Report Date
    July 17, 2006
    Manufacturer
    ROCKET MEDICAL
    Product Code
    HFF
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    NURSE

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Description of Event or Problem · 1

    'TIP OF CATHETER DETACHED DURING ATTEMPTED REMOVAL FROM PT'S UTERUS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 4MM VACUUM ASPIRATION CATHETER VACUUM ASPIRATION CATHETER VARIOUS HFF ROCKET MEDICAL 4 MM 404381

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization