BEUDAMED
    FDA Adverse Event Other Summary report: N

    NEURO-TRACE NEEDLE

    MDR report key: 571244 · Received February 9, 2005

    Report

    Report Number
    2925153-2005-00022
    Event Type
    Other
    Date Received
    February 9, 2005
    Report Date
    February 8, 2005
    Manufacturer
    HDC CORP.
    Product Code
    HAS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    "TUBING BECOMES DISLODGED FROM NEEDLE CAUSING LOSS OF MEDICATION."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEURO-TRACE NEEDLE NEURO-TRACE NEEDLE HAS HDC CORP. 553-23-04 1099

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other