FDA Adverse Event Injury Summary report: N

PERITONEAL DIALYSIS CATHETER

MDR report key: 23596299 · Received November 18, 2025

Report

Report Number
MW5179041
Event Type
Injury
Date Received
November 18, 2025
Date of Event
November 1, 2025
Report Date
November 17, 2025
Manufacturer
UNKNOWN
Product Code
FKO
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MA, US
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

A PERITONEAL DIALYSIS REGISTERED NURSE (PD) REPORTED DURING A FOLLOW-UP CALL THAT THE PATIENT HAD AN OMENTAL WRAP ON HIS PD CATHETER. ACCORDING TO THE NURSE THE CATHETER WAS REPLACED (NO DATE PROVIDED) AND THE ISSUE WAS RESOLVED. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
313768 PERITONEAL DIALYSIS CATHETER CATHETER, PERITONEAL DIALYSIS, SINGLE USE FKO UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown