MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-04-27 for MULTI-MED KIT * manufactured by Centurion Medical Products.
[2725039]
Introducer needle in centurion multi-med central venous catheter (4 lumen) had no connectivity to syringe. New kit was used instead.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2619318 |
| MDR Report Key | 2619318 |
| Date Received | 2012-04-27 |
| Date of Report | 2012-04-27 |
| Report Date | 2012-04-27 |
| Date Reported to FDA | 2012-04-27 |
| Date Added to Maude | 2012-06-18 |
| 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 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | MULTI-MED KIT |
| Generic Name | CARDIAC CATHETERIZATION KIT |
| Product Code | OES |
| Date Received | 2012-04-27 |
| Model Number | * |
| Catalog Number | * |
| Lot Number | 2011050950 |
| ID Number | * |
| Device Availability | N |
| Device Age | 1 DY |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CENTURION MEDICAL PRODUCTS |
| Manufacturer Address | 100 CENTURION WAY WILLIAMSTON MI 48895 US 48895 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2012-04-27 |