FDA Adverse Event
Injury
Summary report: N
TROPHOCAN CVS CATHETER
MDR report key: 219064
·
Received April 16, 1999
Report
- Report Number
- 1217052-1999-00012
- Event Type
- Injury
- Date Received
- April 16, 1999
- Date of Event
- March 11, 1991
- Report Date
- March 18, 1999
- Manufacturer
- SIMS PORTEX INC.
- Product Code
- LLX
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- ATTORNEY
Narratives
Description of Event or Problem · 1
THE CHILD OF A MOTHER WHO UNDERWENT THE CVS PROCEDURE ON 3/11/1991 WAS ALLEGEDLY BORN WITH BILATERAL CLUB FEET.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TROPHOCAN CVS CATHETER | CATHETER, SAMPLING, CHORIONIC VILLUS | LLX | SIMS PORTEX INC. | NA | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Congenital Anomaly | A SYRINGE. (3/11/1991 TO 3/11/1991). |