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 |