BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUPER ARROW-FLEX

    MDR report key: 3151617 · Received April 16, 2013

    Report

    Report Number
    3151617
    Event Type
    Malfunction
    Date Received
    April 16, 2013
    Date of Event
    March 27, 2012
    Report Date
    June 19, 2012
    Manufacturer
    TELEFLEX INCORPORATED
    Product Code
    DYB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    163281 SUPER ARROW-FLEX CATHETER DYB TELEFLEX INCORPORATED * *

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR