FDA Adverse Event
Injury
Summary report: N
LOFRIC CLASSIC
MDR report key: 8022918
·
Received October 31, 2018
Report
- Report Number
- 3009632672-2018-00005
- Event Type
- Injury
- Date Received
- October 31, 2018
- Report Date
- October 10, 2018
- Manufacturer
- WELLSPECT HEALTHCARE, A DIVISION OF DENTSPLY IH AB
- Product Code
- EZD
- UDI-DI
- 07392532131851
- PMA / PMN Number
- K113424
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE MANUFACTURER HAS NOT RECEIVED THE DEVICE LOT NUMBER, OR THE USED PRODUCT FOR INVESTIGATION. WITHOUT THE BENEFIT OF EXAMINATION AND TESTING THE DEVICE, OR ANY LOT NUMBER INFORMATION, WELLSPECT HEALTHCARE IS PRECLUDED FROM COMMENTING ON THE CONDITION OF THE DEVICE OR CAUSE OF OCCURRENCE. SHOULD THE DEVICE OR ADDITIONAL INFORMATION BE RECEIVED, A FOLLOW UP REPORT WILL BE FILED.
Description of Event or Problem · 1
ACCORDING TO THE REPORTER, THE USER EXPERIENCED URINARY TRACT INFECTIONS (UTI) .
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 866208 | LOFRIC CLASSIC | CATHETER, STRAIGHT | EZD | WELLSPECT HEALTHCARE, A DIVISION OF DENTSPLY IH AB | 40012 | 07392532131851 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |