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