BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ETHICON

    MDR report key: 303760 · Received November 6, 2000

    Report

    Report Number
    303760
    Event Type
    Injury
    Date Received
    November 6, 2000
    Date of Event
    August 7, 2000
    Report Date
    November 4, 2000
    Manufacturer
    ETHICON
    Product Code
    FHO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PNEUMO-VERES NEEDLE FAILED TO FUNCTION PROPERLY. NO PT HARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON NEEDLE FHO ETHICON NYH 822-2005-03 CE0123

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Required Intervention