FDA Adverse Event Injury Summary report: N

CATHETER

MDR report key: 20246 · Received March 14, 1995

Report

Report Number
MW1005426
Event Type
Injury
Date Received
March 14, 1995
Date of Event
February 15, 1995
Report Date
February 27, 1995
Manufacturer
VAS-CATH OF CANADA, LTD.
Product Code
LFK
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
LA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

INFECTED 19 CM SOFT CELL CATHETER IN RIGHT GROIN WAS REMOVED AND REPLACED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CATHETER Implant CATHETER LFK VAS-CATH OF CANADA, LTD. 505-1859

Patients

Seq Age Sex Outcome Treatment
1 88 YR Hospitalization| R