BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HS CATHETER, 5F

    MDR report key: 4692493 · Received April 9, 2015

    Report

    Report Number
    MW5042080
    Event Type
    Injury
    Date Received
    April 9, 2015
    Date of Event
    April 2, 2015
    Report Date
    April 9, 2015
    Manufacturer
    CATHETER RESEARCH, INC. DBA THOMAS MEDICAL INC
    Product Code
    DRA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    PLASTIC SHEATH REMAINED IN CERVIX AFTER REMOVAL OF CATHETER FOLLOWING PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    233425 HS CATHETER, 5F CATHETER DRA CATHETER RESEARCH, INC. DBA THOMAS MEDICAL INC TMI1154 J237E

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR Required Intervention