InjuryBTC
CADD MEDICATION CASSETTE RESERVOIR
Received Feb 21, 2007 · Event occurred Jan 1, 2007
Report 2183502-2007-00040 · MDR key 820976
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
40 YR
- Occlusion
- Surgical procedure, repeated
- Surgical procedure, additional
Narrative
Description of Event or Problem
THE MFR HAS BECOME AWARE VIA INFO RECEIVED FROM THE INITIAL REPORTER REGARDING AN ALLEGED INCIDENT OF A CLOGGED CATHETER (MFR AND MODEL UNIDENTIFIED) THAT REQUIRED INTERVENTION AND POSSIBLE SUBSEQUENT REMOVAL/REPLACEMENT.
Additional Manufacturer Narrative
ADD'L MFR NARRATIVE: CUSTOMER HAS NOT YET RETURNED THE DEVICE TO THE MFR FOR DEVICE EVALUATION. WHEN AND IF THE DEVICE BECOMES AVAILABLE AND IS RETURNED AND EVALUATED THE MFR WILL FILE A FOLLOW-UP REPORT DETAILING THE RESULTS OF THE EVALUATION.