BEUDAMED
    FDA Adverse Event Injury Summary report: N

    4FR POLY PQC TRAY

    MDR report key: 421658 · Received October 10, 2002

    Report

    Report Number
    1720496-2002-00207
    Event Type
    Injury
    Date Received
    October 10, 2002
    Date of Event
    June 23, 2002
    Report Date
    September 11, 2002
    Manufacturer
    BARD REYNOSA S.A. DE C.V.
    Product Code
    LJS
    Report Source
    Manufacturer report

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 4FR POLY PQC TRAY LONG TERM INTRAVASCULAR ACCESS CATHETER LJS BARD REYNOSA S.A. DE C.V. 3144100 22EMA734

    Patients

    Seq Age Sex Outcome Treatment
    1