BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STIMM CATH 19 GA 60 CM ARROW REF

    MDR report key: 2935569 · Received January 23, 2013

    Report

    Report Number
    MW5028774
    Event Type
    Malfunction
    Date Received
    January 23, 2013
    Date of Event
    January 22, 2013
    Report Date
    January 23, 2013
    Manufacturer
    ARROW INTERNATIONAL, INC.
    Product Code
    CAZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CONTINUOUS NERVE BLOCK CATHETER HAD A HOLE IN IT AND MEDICATION WAS LEAKING FROM THE SITE OF THE HOLE. CATHETER REMOVED NO ADVERSE EFFECT TO THE PATIENT. REASON FOR USE: NERVE BLOCK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    33206 STIMM CATH 19 GA 60 CM ARROW REF CONTINUOUS NERVE BLOCK CAZ ARROW INTERNATIONAL, INC. RF2108521

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR