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).