FDA Adverse Event
Malfunction
Summary report: N
NC BANDIT CATHETER
MDR report key: 40634
·
Received September 9, 1996
Report
- Report Number
- 2183819-1996-00012
- Event Type
- Malfunction
- Date Received
- September 9, 1996
- Date of Event
- August 6, 1996
- Report Date
- September 5, 1996
- Manufacturer
- SCIMED LIFE SYSTEMS, INC.
- Product Code
- LOX
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MT, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE BALLOON CATHETER WAS DISCARDED BY THE HOSPITAL, SO NO RETURNED PRODUCRT ANALYSIS WILL BE AVAILABLE.
Description of Event or Problem · 1
DURING A PTCA PROCEDUE, THE BALLOON WOULD NOT DEFLATE. THEY CONTINUED TO PULL NEGATIVE PRESSURE UNTIL THE BALLOON DEFLATED ENOUGH TO REMOVE. NO PT INJURIES OR COMPLICATIONS OCCURRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | NC BANDIT CATHETER | PTCA CATHETER | LOX | SCIMED LIFE SYSTEMS, INC. | NCB14 15/3.25 | 515018 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |