BEUDAMED
    FDA Adverse Event Other Summary report: N

    CONCORD/PORTEX

    MDR report key: 33392 · Received May 30, 1996

    Report

    Report Number
    33392
    Event Type
    Other
    Date Received
    May 30, 1996
    Date of Event
    May 14, 1996
    Report Date
    May 15, 1996
    Manufacturer
    CONCORD/PORTEX
    Product Code
    CAZ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    EPIDURAL CATHETER IN CATHETER TRAY WOULDN'T THREAD. ANOTHER CATHETER WAS PULLED FROM STOCK AND INSERTED. AFTER PT DELIVERED, CATHETER WAS PULLED BY CRNA AND A 2CM SECTION MISSING, APPEARS TO HAVE BEEN RETAINED IN THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONCORD/PORTEX EPIDURAL CATHETER CAZ CONCORD/PORTEX 501204

    Patients

    Seq Age Sex Outcome Treatment
    1 22 YR Other