BEUDAMED
    FDA Adverse Event Other Summary report: N

    CURLED PERITONEAL CATHETER

    MDR report key: 11419 · Received February 10, 1994

    Report

    Report Number
    MW1000703
    Event Type
    Other
    Date Received
    February 10, 1994
    Date of Event
    December 20, 1993
    Report Date
    January 27, 1994
    Manufacturer
    QUINTON INSTRUMENT CO.
    Product Code
    FJS
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CURLED PERITONEAL CATHETER Implant FJS QUINTON INSTRUMENT CO. 11313-010

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR Other "BAXTER" TITANIUM ADAPTOR-CONNECTOR 5C4168.