FDA Adverse Event
Injury
Summary report: N
PERM-A-CATH
MDR report key: 22261
·
Received May 15, 1995
Report
- Report Number
- 22261
- Event Type
- Injury
- Date Received
- May 15, 1995
- Date of Event
- April 28, 1995
- Report Date
- May 15, 1995
- Manufacturer
- UNKNOWN
- Product Code
- FIQ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- LA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
CATHETER WAS REMOVED SINCE IT WASN'T WORKING WELL. PHYSICIAN EXPECTED BETTER OPERATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PERM-A-CATH Implant | PERM-A-CATH | FIQ | UNKNOWN | NI | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 70 YR | Other| R |