BEUDAMED
    FDA Adverse Event Other Summary report: N

    RUSCH

    MDR report key: 444181 · Received February 20, 2003

    Report

    Report Number
    MW1027613
    Event Type
    Other
    Date Received
    February 20, 2003
    Date of Event
    January 19, 2003
    Report Date
    February 20, 2003
    Manufacturer
    RUSCH
    Product Code
    EZL
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CATHETER BALLOON RUPTURED INSIDE THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RUSCH GRAHAM CATHETER EZL RUSCH * 114880

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Other