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