BEUDAMED
    FDA Adverse Event Injury Summary report: N

    4020709

    MDR report key: 285077 · Received July 11, 2000

    Report

    Report Number
    1718873-2000-00009
    Event Type
    Injury
    Date Received
    July 11, 2000
    Date of Event
    June 12, 2000
    Report Date
    June 29, 2000
    Manufacturer
    UTAH MEDICAL PRODUCTS, INC.
    Product Code
    FOS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CRACKED AND LEAKED. PT LOST 20CC OF BLOOD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 4020709 STOPCOCK FOS UTAH MEDICAL PRODUCTS, INC. * 51G12294

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention