BEUDAMED
    FDA Adverse Event Other Summary report: N

    NEO MAGIC 1.9FR CATHETER ONLY

    MDR report key: 3750204 · Received January 28, 2014

    Report

    Report Number
    3007207906-2013-00001
    Event Type
    Other
    Date Received
    January 28, 2014
    Date of Event
    June 15, 2013
    Report Date
    September 3, 2013
    Manufacturer
    NEO MEDICAL INC.
    Product Code
    LJS
    Report Source
    Manufacturer report
    Reporter Location
    UT, US
    Reporter Occupation
    NURSE

    Narratives

    Additional Manufacturer Narrative · 1

    COMPLAINT INVESTIGATION (B)(4). THIS REPORT WAS ASSESSED AND DETERMINED TO BE AN MDR BASED ON OUR MDR REPORTING CRITERIA. INCLUDED IN THIS "CLOSURE" REPORT IS A COMPLETED COMPLAINT INVESTIGATION ANALYSIS ((B)(4)).

    Description of Event or Problem · 1

    1.9FR. PICC LINE BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    60291 NEO MAGIC 1.9FR CATHETER ONLY 1.9FR NEO MAGIC PICC LJS NEO MEDICAL INC. 1943-1625 1012A

    Patients

    Seq Age Sex Outcome Treatment
    1