BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VANTEX TLC

    MDR report key: 22059657 · Received May 21, 2025

    Report

    Report Number
    22059657
    Event Type
    Malfunction
    Date Received
    May 21, 2025
    Date of Event
    May 5, 2025
    Report Date
    May 12, 2025
    Manufacturer
    MEDLINE INDUSTRIES INC
    Product Code
    GBP
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    L IJ TLC [LEFT INTERNAL JUGULAR TRIPLE LUMEN CATHETER]. ONLY BROWN PORT WITH BLOOD RETURN. ALL PORTS ABLE TO BE FLUSHED. PLACED [REDACTED]. LINES STILL IN PATIENT AS OF [REDACTED]. MANUFACTURER RESPONSE FOR TRIPLE LUMEN CATHETER, VANTEX TLC (PER SITE REPORTER).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    724191 VANTEX TLC CATHETER, MULTIPLE LUMEN GBP MEDLINE INDUSTRIES INC 580128 UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown Other