BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UTAH MEDICAL

    MDR report key: 3022814 · Received March 21, 2013

    Report

    Report Number
    MW5029486
    Event Type
    Injury
    Date Received
    March 21, 2013
    Date of Event
    February 4, 2013
    Report Date
    March 21, 2013
    Manufacturer
    UTAH MEDICAL
    Product Code
    FOS
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    UMBILICAL CATHETER SNAPPED INTO PIECES WHILE ATTACHED TO BABY. NO ILL EFFECTS TO BABY. ALL PIECES OF CATHETER WERE ABLE TO BE RETRIEVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    118598 UTAH MEDICAL UMBILICAL CATHETER FOS UTAH MEDICAL 1112521

    Patients

    Seq Age Sex Outcome Treatment
    1 2 DA Required Intervention