BEUDAMED
    FDA Adverse Event Summary report: N

    GROSHONG CATHETER WITH POWERPORT

    MDR report key: 2010374 · Received February 17, 2011

    Report

    Report Number
    2010374
    Date Received
    February 17, 2011
    Date of Event
    February 11, 2011
    Report Date
    February 17, 2011
    Manufacturer
    BARD ACESSS SYSTEMS
    Product Code
    LJT
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Narratives

    Description of Event or Problem · 1

    BARD GROSHONG CATHETER WITH POWER PORT IMPLANTED. FIFTEEN MONTHS LATER, PATIENT HAVING PORT FLUSHED WHEN PHYSICIAN NOTICED APPROXIMATELY 20 CM OF DISTAL TIP OF THE GUIDE WIRE STICKING OUT OF THE CATHETER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GROSHONG CATHETER WITH POWERPORT CATHETER, PORT, IMPLANTED LJT BARD ACESSS SYSTEMS * RETJ0442

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR