BEUDAMED
    FDA Adverse Event Other Summary report: N

    COMBINED SPINAL/EPIDURAL TRAY

    MDR report key: 372535 · Received January 17, 2002

    Report

    Report Number
    1217052-2002-00002
    Event Type
    Other
    Date Received
    January 17, 2002
    Date of Event
    December 1, 2001
    Report Date
    December 18, 2001
    Manufacturer
    PORTEX, INC.
    Product Code
    CAZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    AFTER COMPLETING THE PROCEDURE, THE MD WITHDREW THE CATHETER AND NOTED THAT APPROXIMATELY 1.25" OF THE DISTAL TIP SECTION WAS LEFT IN THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COMBINED SPINAL/EPIDURAL TRAY TRAY, ANESTHETIC CONDUCTION CAZ PORTEX, INC. NA 06/2004

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other