MAUDE MDR 8866222

MDR report key
8866222
Report number
MW5088828
Event key
0
Event type
3
Date of event
2019-06-21
Date received
2019-08-05
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1CENTURION IV SECUREMENT KIT WITH EXTENSION SETDEVICE, INTRAVASCULAR CATHETER SECUREMENTCENTURION MEDICAL PRODUCTS CORPORATIONKMKIVS32652019021490I R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-08-050

Event Narratives#

No narrative records found.