FDA Adverse Event Malfunction Summary report: N

PEDIATRIC ULTRAMER CATHETER

MDR report key: 2843422 · Received September 26, 2012

Report

Report Number
2843422
Event Type
Malfunction
Date Received
September 26, 2012
Date of Event
April 19, 2012
Report Date
September 10, 2012
Manufacturer
COVIDIEN, FORMERLY KENDALL A DIVISION OF TYCO HEALTHCARE
Product Code
KOD
Product Problem
Yes
Report Source
User Facility report
Reporter Location
TX, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

WHEN ATTEMPTING TO INSERT URINARY CATHETER, IT WAS NOTICED THAT THE CATHETER TIP DID NOT HAVE ANY DRAINAGE HOLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PEDIATRIC ULTRAMER CATHETER PEDIATRIC ULTRAMER CATHETER KOD COVIDIEN, FORMERLY KENDALL A DIVISION OF TYCO HEALTHCARE * 1297282

Patients

Seq Age Sex Outcome Treatment
1 28 MO NO OTHER THERAPIES