BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PERMCATH

    MDR report key: 19547 · Received February 6, 1995

    Report

    Report Number
    MW1005069
    Event Type
    Injury
    Date Received
    February 6, 1995
    Date of Event
    January 13, 1995
    Report Date
    January 24, 1995
    Manufacturer
    QUINTON INSTRUMENT CO.
    Product Code
    LFJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    LA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DR STATED "MALFUNCTIONING. GAVE NO OTHER EXPLANATION AS TO WHY. THE CATHETER WAS REMOVED AND REPLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PERMCATH Implant PERM-A-CATH LFJ QUINTON INSTRUMENT CO. NI NI

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Hospitalization