FDA Adverse Event Malfunction Summary report: N

REGARD CORONARY FEMORAL STERILE BOWL

MDR report key: 8707869 · Received June 17, 2019

Report

Report Number
MW5087424
Event Type
Malfunction
Date Received
June 17, 2019
Date of Event
June 11, 2019
Report Date
June 13, 2019
Manufacturer
RESOURCE OPTIMIZATION AND INNOVATION, LLC
Product Code
OES
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

DID NOT REACH PT. SMALL PARTICLE FOUND IN STERILE BOWL PRIOR TO CASE START.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
496884 REGARD CORONARY FEMORAL STERILE BOWL CARDIAC CATHETERIZATION KIT OES RESOURCE OPTIMIZATION AND INNOVATION, LLC 67666B

Patients

Seq Age Sex Outcome Treatment
1