LAPROSCOPIC CATHETER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-03-24 for LAPROSCOPIC CATHETER manufactured by American Catheter.

Event Text Entries

[5681142] Packaging for device found not sealed at manufacturer. Found 11 more with same defect in store room. Diagnosis or reason for use: cholangiogram.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5041729
MDR Report Key4645468
Date Received2015-03-24
Date of Report2015-03-24
Date of Event2015-03-09
Date Added to Maude2015-04-01
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Generic NameLAPROSCOPIC CATHETER
Product CodeNWT
Date Received2015-03-24
Lot Number14101601
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerAMERICAN CATHETER
Manufacturer AddressSTUART FL 34997 US 34997


Patients

Patient NumberTreatmentOutcomeDate
10 2015-03-24

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