BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ARROW CATHETER

    MDR report key: 54774 · Received July 29, 1996

    Report

    Report Number
    54774
    Event Type
    Malfunction
    Date Received
    July 29, 1996
    Date of Event
    January 17, 1996
    Report Date
    January 30, 1996
    Manufacturer
    ARROW INTL.
    Product Code
    GBZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHILE DOING LAPAROSCOPIC CHOLECYSTECTOMY, SHEATH FROM CATHETER CAME OFF AND FELL IN PT'S ABDOMEN. DR WAS ABLE TO RETRIEVE IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARROW CATHETER CHOLANGIOGRAM CATHETER GBZ ARROW INTL. CS-01700 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other