BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRUITT IRRIGATION OCCLUSION CATHETER

    MDR report key: 43198 · Received September 6, 1996

    Report

    Report Number
    1049753-1996-00001
    Event Type
    Malfunction
    Date Received
    September 6, 1996
    Report Date
    September 6, 1996
    Manufacturer
    IDEAS FOR MEDICINE, INC.
    Product Code
    DQT
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    CATHETER BALLOON BURST DURING SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRUITT IRRIGATION OCCLUSION CATHETER EMBOLECTOMY IRRIGATION OCCLUSION CATHETER DQT IDEAS FOR MEDICINE, INC. 9F-10 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention