MAUDE MDR 7302363

MDR report key
7302363
Report number
7302363
Event key
0
Event type
3
Date of event
2017-12-18
Date received
2018-02-28
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1EDMINTRACEREBRAL INFUSION/DRAINAGE CATHETER, SHORT-TERMMEDTRONIC PS MEDICAL, INC.PCBNANAD73020R Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-02-280

Event Narratives#

N

Patient 1

D

Patient 1

MEDICAL DOCTOR ANESTHESIOLOGIST WAS PULLING OUT CATHETER WHEN SHE NOTICED TIP HAD SHEARED OFF CATHETER. POSSIBLE USER ERROR.