FDA Adverse Event Death Summary report: N

CT9000 INJECTOR

MDR report key: 378182 · Received February 22, 2002

Report

Report Number
1518293-2002-00005
Event Type
Death
Date Received
February 22, 2002
Date of Event
February 5, 2002
Report Date
February 21, 2002
Manufacturer
LIEBEL-FLARSHEIM
Product Code
DXT
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CT9000 ADV INJECTOR WAS USED ON ELDERLY PT WHO DIED ON 2002. SALES REP WAS NOTIFIED BY MEDICAL CENTER ON 2/2002. THERE IS SOME SPECULATION OF AN AIR INJECTION DUE TO AUTOPSY RESULTS SHOWING AIR IN THE PATIENTS SYSTEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CT9000 INJECTOR ANGIOGRAPHIC INJECTOR & SYRINGE DXT LIEBEL-FLARSHEIM NA *

Patients

Seq Age Sex Outcome Treatment
1 * Death