BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PREFERRED MEDICAL PRODUCTS

    MDR report key: 80281 · Received March 26, 1997

    Report

    Report Number
    80281
    Event Type
    Injury
    Date Received
    March 26, 1997
    Date of Event
    February 13, 1997
    Report Date
    March 25, 1997
    Manufacturer
    PREFERRED MEDICAL PRODUCTS
    Product Code
    LNY
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    APPROX 10 CM OF INTRATHECAL CATHETER, FOR MORPHINE INFUSION SHEARED OFF DURING INSERTION. TIP REMOVED DURING SUBSEQUENT SURGERY 3/7/97.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PREFERRED MEDICAL PRODUCTS Implant CELIAC PLEXUS BLOCK CATHETER LNY PREFERRED MEDICAL PRODUCTS UNK 608186

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Hospitalization| R