BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 147620 · Received February 4, 1998

    Report

    Report Number
    1450392-1998-00002
    Event Type
    Injury
    Date Received
    February 4, 1998
    Date of Event
    December 8, 1997
    Manufacturer
    NORFOLK MEDICAL PRODUCTS
    Product Code
    LJT
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    ACCORDING TO THE HEALTHCARE PROFESSIONAL, THE PT WAS SENT FOR A DYE STUDY. THE RN'S WERE EXPERIENCING FREQUENT "PWO". THE DYE STUDY REVEALED A LEAK CLOSE TO THE PORT STEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * * LJT NORFOLK MEDICAL PRODUCTS P5455 97030

    Patients

    Seq Age Sex Outcome Treatment
    1 *