BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    11.5FR X 13.5CM MAHURKAR KIT

    MDR report key: 4143631 · Received October 6, 2014

    Report

    Report Number
    1317749-2014-00135
    Event Type
    Malfunction
    Date Received
    October 6, 2014
    Date of Event
    February 5, 2014
    Report Date
    December 2, 2024
    Manufacturer
    COVIDIEN
    Product Code
    FOZ
    PMA / PMN Number
    K192302
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CH
    Reporter Occupation
    003

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    626329 11.5FR X 13.5CM MAHURKAR KIT CATHETER, INTRAVASCULAR, THERAPEUTIC, SHORT-TERM LESS THAN 30 DAYS FOZ COVIDIEN 8813817005 028821

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown