BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PORTACATH

    MDR report key: 14913 · Received March 3, 1994

    Report

    Report Number
    14913
    Event Type
    Injury
    Date Received
    March 3, 1994
    Date of Event
    February 25, 1994
    Report Date
    March 1, 1994
    Manufacturer
    PHARMACIA DELTEC, INC.
    Product Code
    LJT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT ASYMPTOMATIC. CATHETER NOTICED TO BE FRACTURED OFF FROM INJECTION PORT AND MIGRATED TO RIGHT ATRIUM/VENTRICLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PORTACATH INDWELLING INFUSION CATHETER LJT PHARMACIA DELTEC, INC. UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Required Intervention