FDA Adverse Event Other Summary report: N

SERVO-I

MDR report key: 3121755 · Received May 8, 2013

Report

Report Number
8010042-2013-00066
Event Type
Other
Date Received
May 8, 2013
Manufacturer
MAQUET CRITICAL CARE AB
Product Code
CBK
PMA / PMN Number
K062793
Removal / Correction Number
NA
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

THE EVENT AS REPORTED IS NOT INDICATIVE OF A DEVICE MALFUNCTION OF THE EDI CATHETER. INFORMATION FROM THE HOSPITAL ABOUT THE PROCEDURES FOR USE, INFORMATION SURROUNDING THE EVENT, AND ADDITIONAL PATIENT SPECIFICS HAS NOT BEEN RECEIVED DESPITE SEVERAL ATTEMPTS TO OBTAIN IT. (B)(4).

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
202455 SERVO-I CBK MAQUET CRITICAL CARE AB

Patients

Seq Age Sex Outcome Treatment
1