BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DURAMAX CHRONIC HEMODIALYSIS CATHETER

    MDR report key: 2000028 · Received February 18, 2011

    Report

    Report Number
    1319211-2011-00023
    Event Type
    Malfunction
    Date Received
    February 18, 2011
    Date of Event
    January 18, 2011
    Report Date
    February 18, 2011
    Manufacturer
    ANGIODYNAMICS
    Product Code
    MSD
    PMA / PMN Number
    K080400
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE REPORTED DEFECTIVE DEVICE HAS BEEN RETURNED TO THE MANUFACTURER AND AN INVESTIGATION INTO THE ROOT CAUSE FOR INCIDENT IS CURRENTLY IN PROGRESS. THE RESULTS FOR THE INVESTIGATION WILL BE SENT VIA A FOLLOW UP MEDWATCH. (B)(4).

    Description of Event or Problem · 1

    AS REPORTED ON (B)(6) 2011, WHILE PERFORMING TUNNELED DIALYSIS CATHETER PLACEMENT, THE PLASTIC TUNNELED SLEEVE CRACKED, BUT DID NOT BREAK APART, AS IT WAS BEING TUNNELED THROUGH THE SKIN. THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITH ANOTHER CATHETER. THERE WAS NO HARM TO THE PT AND NO FURTHER MEDICAL INTERVENTION WAS REQUIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DURAMAX CHRONIC HEMODIALYSIS CATHETER DIALYSIS CATHETER MSD ANGIODYNAMICS NA 994297

    Patients

    Seq Age Sex Outcome Treatment
    1