BEUDAMED
    FDA Adverse Event Injury Summary report: N

    6833 UMBILICAL CORD CLAMP, 100/CS

    MDR report key: 280311 · Received May 31, 2000

    Report

    Report Number
    1046367-2000-00020
    Event Type
    Injury
    Date Received
    May 31, 2000
    Date of Event
    May 2, 2000
    Report Date
    May 31, 2000
    Manufacturer
    DEROYAL
    Product Code
    HFW
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BABY LOSING BLOOD THROUGH THE CORD CLAMP. THIS OCCURRED AFTER CORD CLIPPING PROCEDURE. BABY REQUIRED NO ADDITIONAL TREATMENT. BLOOD LOSS AT A MINIMUM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 6833 UMBILICAL CORD CLAMP, 100/CS 7N8 UMBILICAL CORD CLAMP HFW DEROYAL 07 194854

    Patients

    Seq Age Sex Outcome Treatment
    1 0 DAY Life Threatening