BEUDAMED
    FDA Adverse Event Other Summary report: N

    POWER PORT CATHETER

    MDR report key: 2243991 · Received September 7, 2011

    Report

    Report Number
    MW5022165
    Event Type
    Other
    Date Received
    September 7, 2011
    Date of Event
    August 25, 2011
    Report Date
    August 29, 2011
    Manufacturer
    BARD
    Product Code
    LJT
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BARD POWER PORT CATHETER DISCOVERED TO HAVE A TEAR BEFORE USING FOR PATIENT. NEW KIT OPENED, INSPECTED AND USED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POWER PORT CATHETER LJT BARD REVF1086

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR