BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UTAH MEDICAL PRODUCTS, INC

    MDR report key: 782712 · Received October 25, 2006

    Report

    Report Number
    782712
    Event Type
    Malfunction
    Date Received
    October 25, 2006
    Date of Event
    October 7, 2006
    Report Date
    October 25, 2006
    Manufacturer
    UTAH MEDICAL PRODUCTS, INC
    Product Code
    FOS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NURSE REMOVING UMBILICAL CATHETER; HAD GENTLY PULLED IT OUT ABOUT 1CM WHEN IT SNAPPED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UTAH MEDICAL PRODUCTS, INC CATHETER, UMBILICAL FOS UTAH MEDICAL PRODUCTS, INC * 1061194

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DA