BEUDAMED
    FDA Adverse Event Other Summary report: N

    TYSHAK II CATHETER

    MDR report key: 422214 · Received October 10, 2002

    Report

    Report Number
    1318694-2002-00003
    Event Type
    Other
    Date Received
    October 10, 2002
    Date of Event
    August 1, 2002
    Report Date
    September 30, 2002
    Manufacturer
    NUMED, INC.
    Product Code
    LIT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SF
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BALLOON BURST

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TYSHAK II CATHETER PTV CATHETER LIT NUMED, INC. 105 TT-0145

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN