FDA Adverse Event Injury Summary report: N

IMPORT WITH USER-ATTACHABLE 9.5F BIOGLIDE CATHETER

MDR report key: 213155 · Received March 5, 1999

Report

Report Number
2021898-1999-00019
Event Type
Injury
Date Received
March 5, 1999
Date of Event
September 4, 1998
Report Date
November 30, 1998
Manufacturer
MEDTRONIC PS MEDICAL
Product Code
LJT
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

IMPORT IMPLANTED ON 07/23/98. REVISED ON 09/04/1998 DUE TO CATHETER FRACTURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMPORT WITH USER-ATTACHABLE 9.5F BIOGLIDE CATHETER Implant IMPLANTED PORTS AND CATHETERS FOR VENOUS INFUSION LJT MEDTRONIC PS MEDICAL NA L3496

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention