FDA Adverse Event
Malfunction
Summary report: N
NC BANDIT CATHETER
MDR report key: 46075
·
Received September 13, 1996
Report
- Report Number
- 2183819-1996-00015
- Event Type
- Malfunction
- Date Received
- September 13, 1996
- Date of Event
- July 10, 1996
- Report Date
- September 13, 1996
- Manufacturer
- SCIMED LIFE SYSTEMS, INC.
- Product Code
- LOX
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
DURING A PTCA PROCEDURE, THE BALLOON WOULD NOT FULLY DEFLATE. THE BALLOON DEFLATED ENOUGH TO REMOVE. NO PT INJURIES OR COMPLICATION OCCURRRED. SAME CASE AS MFR. REPORT NO. 2183819-1996-00016.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | NC BANDIT CATHETER | PTCA CATHETER | LOX | SCIMED LIFE SYSTEMS, INC. | NC B14 20/3.75 | 512441 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |