FDA Adverse Event
Malfunction
Summary report: N
MEDERI STRETTA CATHETER
MDR report key: 6456594
·
Received April 4, 2017
Report
- Report Number
- 3007729452-2017-00002
- Event Type
- Malfunction
- Date Received
- April 4, 2017
- Report Date
- April 3, 2017
- Manufacturer
- MEDERI THERAPEUTICS INC
- Product Code
- GEI
- UDI-DI
- 00856219002294
- PMA / PMN Number
- K000245
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CT, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
A COMPANY FIELD REPRESENTATIVE NOTED A PRODUCT PROBLEM AND IT WAS CONFIRMED BY THE COMPANY THROUGH INSPECTION OF INTERNAL INVENTORY THAT THE PROBLEM COULD RESULT IN A BREACH IN THE PACKAGING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 240528 | MEDERI STRETTA CATHETER | ELECTROSURGICAL DEVICE | GEI | MEDERI THERAPEUTICS INC | 175-5580 | 299ST-16 | 00856219002294 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |