BEUDAMED
    FDA Adverse Event Death Summary report: N

    ANGIODYNAMICS

    MDR report key: 173687 · Received June 17, 1998

    Report

    Report Number
    173687
    Event Type
    Death
    Date Received
    June 17, 1998
    Date of Event
    June 15, 1998
    Report Date
    June 16, 1998
    Manufacturer
    ANGIODYNAMICS INC
    Product Code
    LFJ
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SCHON PEEL-AWAY CATHETER, INSERTED 6/26/1997 FOR HEMODIALYSIS. PT WITH HISTORY OF END STAGE RENAL DISEASE. CATHETER APPEARS TO BE TORN APART. PT EXSANGUINATED. CARDIOPULMONARY RESUSCITATIVE EFFORTS WERE UNSUCCESSFUL. PT EXPIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGIODYNAMICS Implant SCHON DUO FLOW CATHETER LFJ ANGIODYNAMICS INC UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Death + NON-INSULIN DEPENDENT DIABETES MELLITUS.