BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CRAGG-MCNAMARA VALVED INFUSION CATHETER

    MDR report key: 478755 · Received August 18, 2003

    Report

    Report Number
    2029214-2003-00031
    Event Type
    Malfunction
    Date Received
    August 18, 2003
    Date of Event
    May 23, 2003
    Report Date
    July 17, 2003
    Manufacturer
    MICRO THERAPEUTICS, INC.
    Product Code
    JCY
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING USE, THE CATHETER MARKER BAND DISLODGED INTO THE SHEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CRAGG-MCNAMARA VALVED INFUSION CATHETER INFUSION CATHETER JCY MICRO THERAPEUTICS, INC. 41048-01 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN