BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HICKMAN

    MDR report key: 192053 · Received October 14, 1998

    Report

    Report Number
    MW1014748
    Event Type
    Malfunction
    Date Received
    October 14, 1998
    Manufacturer
    BARD ACCESS SYSTEMS
    Product Code
    LJT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PINHOLE NOTED DISTAL TO BIFORCATION OF Y PORTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HICKMAN Implant DOUBLE LUMEN CVL LJT BARD ACCESS SYSTEMS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other