BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PORT-A-CATH

    MDR report key: 1002839 · Received February 21, 2008

    Report

    Report Number
    MW5005645
    Event Type
    Injury
    Date Received
    February 21, 2008
    Date of Event
    February 15, 2008
    Report Date
    February 21, 2008
    Manufacturer
    COVIDIEN
    Product Code
    LJT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SD, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DOCTOR REMOVED NONFUNCTIONING PORT AND CATHETER. CATHETER MEASURED 15 CM. X-RAY TAKEN AND CONFIRMED A PIECE REMAINED IN PT. PATIENT WAS TRANSFERRED TO HOSP WITH INTERVENTIONAL RADIOLOGY FOR REMOVAL OF REMAINING CATHETER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PORT-A-CATH LJT COVIDIEN 120045 N6H302

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Disability