InjuryBTC
CADD MEDICATION CASSETTE RESERVOIR
Received Feb 21, 2007 · Event occurred Feb 14, 2007
Report 2183502-2007-00046 · MDR key 820962
Device
Generic name
Medication Reservoir
Manufacturer
Smiths Medical MdModel number
21-7002Catalog number
21-7002
Lot number
UNK
Product problems
- Complete Blockage
- Replace
- Unknown (for use when the device problem is not known)
- Implant, removal of
Patient
65 YR
- Occlusion
- Surgical procedure, repeated
- Surgical procedure, additional
Narrative
Description of Event or Problem
THE MANUFACTURER HAS BECOME AWARE VIA INFORMATION RECEIVED FROM THE INITIAL REPORTER REGARDING AN ALLEGED INCIDENT OF A CLOGGED CATHETER (MANUFACTURER AND MODEL UNIDENTIFIED) THAT REQUIRED INTERVENTION AND POSSIBLE SUBSEQUENT REMOVAL/REPLACEMENT.
Additional Manufacturer Narrative
CUSTOMER HAS NOT YET RETURNED THE DEVICE TO THE MANUFACTURER FOR DEVICE EVALUATION. WHEN AND IF THE DEVICE BECOMES AVAILABLE AND IS RETURNED AND EVALUATED, THE MANUFACTURER WILL FILE A FOLLOW-UP REPORT DETAILING THE RESULTS OF THE EVALUATION.