FDA Adverse Event Death Summary report: N

QUINTON CATHETER

MDR report key: 111593 · Received July 31, 1997

Report

Report Number
MW1011854
Event Type
Death
Date Received
July 31, 1997
Manufacturer
QUINTON INSTRUMENT CO.
Product Code
MSD
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

PT EXSANQUINATED FROM QUINTON CATH. (CAP CAME APART FROM CATHETER) AT HOME. CATHETER USED FOR HEMODIALYZER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 QUINTON CATHETER Implant * MSD QUINTON INSTRUMENT CO. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 * Death