OtherLFK
RESEARCH MEDICAL INC
Received Sep 21, 2006 · Event occurred Sep 11, 2006
Report MW1040478 · MDR key 763302
Device
Generic name
Femoral Venous Cannula
Manufacturer
*Model number
FOM 11-018-VCatalog number
*
Lot number
96962
Product problems
- Break
- Crack
- Device, or device fragments remain in patient
Patient
69 YR
- Nonresorbable materials, unretrieved in body
Narrative
Description of Event or Problem
FEMORAL VENOUS CANNULAS CRACKED/BROKE. POSSIBILTY OF RETAINED IN PATIENT.