CADD MEDICATION CASSETTE RESERVOIR
Received Jun 7, 2007 · Event occurred Jan 19, 2007
Report 2183502-2007-00166 · MDR key 862727
Device
Generic name
Medication Reservoir
Manufacturer
Smiths Medical Md, Inc.Model number
21-7002Catalog number
21-7002
Lot number
UNK
Product problems
- Unknown (for use when the device problem is not known)
Patient
64 YR
- Occlusion
- 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
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.