CATHETER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-03-01 for CATHETER manufactured by Medtronic Ave.

Event Text Entries

[2478333] A 6f sherpa bal ebu3. 5 catheter would not pass through the sheath.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5024519
MDR Report Key2481395
Date Received2012-03-01
Date of Report2012-03-01
Date of Event2012-02-28
Date Added to Maude2012-03-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameCATHETER
Generic Name6F SHERPA BAL EBU3.5 CATHETER
Product CodeJCY
Date Received2012-03-01
Lot Number0005925870
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC AVE
Manufacturer AddressSHOREVIEW MN US


Patients

Patient NumberTreatmentOutcomeDate
10 2012-03-01

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