BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HICKMAN

    MDR report key: 3201168 · Received April 8, 2013

    Report

    Report Number
    3201168
    Event Type
    Malfunction
    Date Received
    April 8, 2013
    Date of Event
    March 12, 2013
    Report Date
    April 8, 2013
    Manufacturer
    C.R. BARD, INC.
    Product Code
    LJS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VT, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    144745 HICKMAN CATHETER LJS C.R. BARD, INC. * HUWL0283

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR