MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1993-07-29 for INFUSION CATHETER TRACKER - 18 manufactured by Target Therapeutics.
[13977]
Tip of catheter fractured. Invalid data - regarding single use labeling of device. Patient medical status prior to event: invalid data. Invalid data - regarding multiple patient involvement. Invalid data - on device service/maintenance. No data - regarding date last serviced. Service provided by: invalid data. Invalid data - service records availability. Invalid data - regarding whether event presents imminent hazard. Invalid data - whether device used as labeled/intended. Invalid data - regarding evaluation by user after event. Method of evaluation: invalid data. Results of evaluation: invalid data. Conclusion: invalid data. Certainty of device as cause of or contributor to event: invalid data. Corrective actions: no data. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 20885 |
MDR Report Key | 20885 |
Date Received | 1993-07-29 |
Date of Report | 1993-07-13 |
Report Date | 1993-07-13 |
Date Added to Maude | 1995-03-20 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Health Professional | 0 |
Initial Report to FDA | 0 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | INFUSION CATHETER |
Product Code | JCY |
Date Received | 1993-07-29 |
Model Number | TRACKER - 18 |
Lot Number | A13429 |
Device Availability | * |
Implant Flag | * |
Device Sequence No | 1 |
Device Event Key | 20784 |
Manufacturer | TARGET THERAPEUTICS |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 1993-07-29 |