MalfunctionFAX

PHILLIPS CATH FOLLOWER

Received Mar 29, 2004

Report 2429473-2004-00039 · MDR key 541655

Device

Generic name

Urological

Manufacturer

Model number

Catalog number

346120

Lot number

128492

Product problems

Break

Patient

UNKNOWN

Unknown (for use when the patient's condition is not known)

Narrative

Description of Event or Problem

CUSTOMER REPORTS DEVICE BROKE INSIDE OF PT.