FDA Adverse Event
Malfunction
Summary report: N
HEMOSTASIS VALVE/SHEATH ASSEMBLY
MDR report key: 49490
·
Received September 20, 1996
Report
- Report Number
- 2242850-1996-00097
- Event Type
- Malfunction
- Date Received
- September 20, 1996
- Report Date
- September 5, 1996
- Manufacturer
- DATASCOPE CORPORATION
- Product Code
- DSP
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THERE WAS MORE LEAKING THAN USUAL FROM THE CLEAR HEMOSTASIS VALVE. THE HEMOSTASIS VALVE WAS NOT TAKEN OFF THE INTRODUCER. THE HEMOSTASIS VALVE AND INTRODUCER WERE NOT RETURNED TO THE CO. FOR EVALUATION. THE ITEMS WERE DISCARDED BY THE FACILITY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HEMOSTASIS VALVE/SHEATH ASSEMBLY | HEMOSTASIS VALVE/SHEATH ASSEMBLY | DSP | DATASCOPE CORPORATION | 0684540015/0684-54-0008-03 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |