BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BARDPORT IMPLANTED PORT

    MDR report key: 2171897 · Received September 13, 2007

    Report

    Report Number
    2171897
    Event Type
    Injury
    Date Received
    September 13, 2007
    Date of Event
    August 31, 2007
    Report Date
    September 10, 2007
    Manufacturer
    BARD ACCESS SYSTEMS
    Product Code
    LJT
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT FOR PORT-A-CATH REMOVAL. PORT REMOVED - NO CATHETER ATTACHED. CHEST X-RAY CONFIRMS CATHETER IN INFERIOR VENA CAVA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARDPORT IMPLANTED PORT PORT-A-CATH LJT BARD ACCESS SYSTEMS PROD. CODE 7707540 REQC0846

    Patients

    Seq Age Sex Outcome Treatment
    1 31 YR Required Intervention