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 |