BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DLP 10003 ADAPTER Y TYPE

    MDR report key: 82271 · Received February 12, 1997

    Report

    Report Number
    82271
    Event Type
    Injury
    Date Received
    February 12, 1997
    Date of Event
    July 12, 1996
    Report Date
    July 25, 1996
    Manufacturer
    DLP INC./INRAD
    Product Code
    DTL
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ADAPTER DID NOT ALLOW ENOUGH BLOOD FLOW. NEW ADAPTER REQUIRED. DID NOT AFFECT PT IN ANY WAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DLP 10003 ADAPTER Y TYPE * DTL DLP INC./INRAD 10003 *

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Required Intervention