BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 194355 · Received October 26, 1998

    Report

    Report Number
    194355
    Event Type
    Injury
    Date Received
    October 26, 1998
    Date of Event
    October 12, 1998
    Report Date
    October 20, 1998
    Manufacturer
    UNK
    Product Code
    JJT
    Report Source
    User Facility report
    Reporter Location
    NC, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    REMOVAL OF PORTACATH FROM LEFT SUBCLAVIAN VEIN. NO LONGER NECESSARY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * Implant PORTACATH JJT UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Hospitalization