BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CHEMO PORT

    MDR report key: 22586 · Received March 14, 1995

    Report

    Report Number
    1056436-1995-00051
    Event Type
    Injury
    Date Received
    March 14, 1995
    Date of Event
    October 27, 1994
    Report Date
    February 12, 1995
    Manufacturer
    HDC
    Product Code
    MDX
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    NJ, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    THE CATHETER COILED IN JJUGULAR. DR. REPLACED PORT AND CATHETER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CHEMO PORT Implant IMPLANTABLE DRUG PORT MDX HDC 20212

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Required Intervention