BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SPECTRUM CENTRAL VENOUS CATHETER SET

    MDR report key: 3200863 · Received June 21, 2013

    Report

    Report Number
    3200863
    Event Type
    Malfunction
    Date Received
    June 21, 2013
    Date of Event
    June 20, 2013
    Report Date
    June 21, 2013
    Manufacturer
    COOK MEDICAL
    Product Code
    FOZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    282362 SPECTRUM CENTRAL VENOUS CATHETER SET CATHETER, INTRAVASCULAR, DIAGNOSTIC, CENTRAL VENOUS FOZ COOK MEDICAL * C-UDM-4015-ABRM

    Patients

    Seq Age Sex Outcome Treatment
    1 8 YR