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