BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KENDALL

    MDR report key: 521583 · Received March 31, 2004

    Report

    Report Number
    MW1031737
    Event Type
    Malfunction
    Date Received
    March 31, 2004
    Date of Event
    January 12, 2004
    Report Date
    March 31, 2004
    Manufacturer
    THE KENDALL CO
    Product Code
    GAA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    LA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PARACENTESIS PERFORMED ON PT. DOCTOR REPORTED THAT VALVE WAS DEFECTIVE - NO HARM TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KENDALL ASPIRATING NEEDLE GAA THE KENDALL CO THORACENTESIS TRAY 3118031

    Patients

    Seq Age Sex Outcome Treatment
    1 *