BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ANGIODYNAMICS INC PORT SMRT 8 0FR W/VALVED INTRO PORT A CATH

    MDR report key: 18311533 · Received December 11, 2023

    Report

    Report Number
    MW5149129
    Event Type
    Injury
    Date Received
    December 11, 2023
    Date of Event
    December 7, 2023
    Report Date
    December 8, 2023
    Manufacturer
    ANGIODYNAMICS INC.
    Product Code
    LJT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    PT REQUIRED VASCULAR INTERVENTIONAL PROCEDURE TO REMOVE BROKEN PORT. XRAY DONE AT ANOTHER FACILITY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    841006 ANGIODYNAMICS INC PORT SMRT 8 0FR W/VALVED INTRO PORT A CATH PORT & CATHETER, IMPLANTED, SUBCUTANEOUS, INTRAVASCULAR LJT ANGIODYNAMICS INC. CT80STPD-VI 5163658

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Female Required Intervention