BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIFE PORT

    MDR report key: 10758 · Received January 4, 1994

    Report

    Report Number
    10758
    Event Type
    Injury
    Date Received
    January 4, 1994
    Report Date
    October 26, 1993
    Manufacturer
    STRATO MEDICAL CORP.
    Product Code
    DQO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CATHETER LEAKING AT MIDPOINT. CATHETER HAD TO BE REMOVED AND REPLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFE PORT Implant DQO STRATO MEDICAL CORP. 231801

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Required Intervention