FDA Adverse Event Death Summary report: N

ANGIODYNAMICS SCHON XL DOUBLE LUMEN CATHETER

MDR report key: 17499333 · Received August 9, 2023

Report

Report Number
MW5122884
Event Type
Death
Date Received
August 9, 2023
Report Date
August 7, 2023
Manufacturer
ANGIODYNAMICS, INC.
Product Code
LJS
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
UNKNOWN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

DISTAL CATHETER BROKE OFF AT PORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1049027 ANGIODYNAMICS SCHON XL DOUBLE LUMEN CATHETER CATHETER, INTRAVASCULAR, THERAPEUTIC, LONG-TERM GREATER THAN 30 DAYS LJS ANGIODYNAMICS, INC.

Patients

Seq Age Sex Outcome Treatment
1 Unknown Death