Brand Name | CADD EXT SET |
Type of Device | SET, ADMINISTRATION, INTRAVASCULAR |
Manufacturer (Section D) |
|
MDR Report Key | 11372016 |
MDR Text Key | 233464534 |
Report Number | MW5099559 |
Device Sequence Number | 1 |
Product Code |
FPA
|
Combination Product (y/n) | Y |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
02/19/2021 |
2 Devices were Involved in the Event: |
1
2
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
No Information
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 02/23/2021 |
Patient Sequence Number | 1 |
Patient Outcome(s) |
Death;
|
Patient Age | 84 YR |
|
|