BEUDAMED
    FDA Adverse Event Other Summary report: N

    TRAY THORACENT WITH CATH 14GAX2

    MDR report key: 581355 · Received March 15, 2005

    Report

    Report Number
    1423507-2005-00039
    Event Type
    Other
    Date Received
    March 15, 2005
    Date of Event
    December 31, 2004
    Report Date
    March 15, 2005
    Manufacturer
    CARDINAL HEALTH
    Product Code
    GCB
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NE, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CATHETER HAD MULTIPLE DEFECTS. CRACKS INMID PORTION OF CATHETER NOTICED ON EXTRACTION OF CATHETER AFTER THORACENTESIS PERFORMED BY PHYSICIAN. CHEST X-RAY REVEALED ON EVIDENCE OF ERTAINED FOREIGN BODY AFTER PROCEDURE PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRAY THORACENT WITH CATH 14GAX2 THORACENTESIS GCB CARDINAL HEALTH 4341B UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other| R