FDA Adverse Event
Malfunction
Summary report: N
4234107-PERQCATH 4FR D/L W/GW FU
MDR report key: 284904
·
Received June 27, 2000
Report
- Report Number
- 1720496-2000-00462
- Event Type
- Malfunction
- Date Received
- June 27, 2000
- Date of Event
- April 24, 2000
- Report Date
- May 25, 2000
- Product Code
- DQO
- Report Source
- Manufacturer report
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 4234107-PERQCATH 4FR D/L W/GW FU | LONG TERM INTRAVASCULAR | DQO | 4234107 | 36CK0094 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |