BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NC BANDIT CATHETER

    MDR report key: 41764 · Received August 29, 1996

    Report

    Report Number
    2183819-1996-00002
    Event Type
    Malfunction
    Date Received
    August 29, 1996
    Date of Event
    July 17, 1996
    Report Date
    August 1, 1996
    Manufacturer
    SCIMED LIFE SYSTEMS, INC.
    Product Code
    LOX
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DURING A PTCA PROCEDURE, THE BALLOON WOULD NOT DEFLATE. A SYRINGE WAS USED TO DEFLATE THE BALLOON. 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. NC B14 15/3.0 523710

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN