FDA Adverse Event
Injury
Summary report: N
LUMBAR DRAINAGE CATH II KIT LAWSON
MDR report key: 8320842
·
Received February 7, 2019
Report
- Report Number
- MW5083856
- Event Type
- Injury
- Date Received
- February 7, 2019
- Date of Event
- January 22, 2019
- Report Date
- January 25, 2019
- Manufacturer
- NATUS NEUROLOGY INC.
- Product Code
- CAZ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- VA, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
CATHETER BEING PULLED FROM PATIENT, PIECE DID NOT COME OUT AND BROKE OFF. HAD TO BE TAKEN BACK TO OR FOR REMOVAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 111675 | LUMBAR DRAINAGE CATH II KIT LAWSON | ANESTHESIA KIT | CAZ | NATUS NEUROLOGY INC. | 7202400 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 76 YR | Required Intervention |