BEUDAMED
    FDA Adverse Event Other Summary report: N

    2.5FR URETHANE UMB CATH

    MDR report key: 495620 · Received November 12, 2003

    Report

    Report Number
    9611018-2003-00001
    Event Type
    Other
    Date Received
    November 12, 2003
    Date of Event
    August 6, 2003
    Report Date
    November 12, 2003
    Manufacturer
    TYCO HEALTHCARE KENDALL
    Product Code
    FOS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    A CUSTOMER HAD A PROBLEM WITH AN UMBILICAL VESSEL CATHETER. THE CUSTOMER REPORTS THE CATHETER WAS LEAKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 2.5FR URETHANE UMB CATH UMBILICAL VESSEL CATHETER FOS TYCO HEALTHCARE KENDALL * 001284E

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other