BEUDAMED
    FDA Adverse Event Other Summary report: N

    ARROW MULTI LUMEN CENTRAL CATHETER TRAY

    MDR report key: 511444 · Received October 17, 2003

    Report

    Report Number
    511444
    Event Type
    Other
    Date Received
    October 17, 2003
    Date of Event
    July 1, 2003
    Report Date
    August 1, 2003
    Manufacturer
    ARROW INTERNATIONAL, INC.
    Product Code
    DQO
    Report Source
    User Facility report
    Reporter Location
    IN, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARROW MULTI LUMEN CENTRAL CATHETER TRAY CENTRAL LINE KIT, 7 FRENCH X 8 INCH DQO ARROW INTERNATIONAL, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR