Brand Name | BARD TRIPLE LUMEN PICC |
Type of Device | CATHETER, INTRAVASCULAR, THERAPEUTIC, LONG-TERM GREATER THAN 30 DAYS |
Manufacturer (Section D) |
BARD ACCESS SYSTEMS, INC. |
|
|
MDR Report Key | 13652041 |
MDR Text Key | 286498287 |
Report Number | MW5107801 |
Device Sequence Number | 1 |
Product Code |
FOZ
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Risk Manager
|
Type of Report
| Initial |
Report Date |
02/25/2022 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Model Number | S1385108D |
Device Lot Number | REFP1050 |
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 03/01/2022 |
Patient Sequence Number | 1 |
|
|