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 |