FDA Adverse Event
Injury
Summary report: N
XCELA
MDR report key: 23808831
·
Received December 15, 2025
Report
- Report Number
- 3008797795-2025-00038
- Event Type
- Injury
- Date Received
- December 15, 2025
- Date of Event
- November 27, 2019
- Report Date
- December 12, 2025
- Manufacturer
- PFM MEDICAL CPP SA
- Product Code
- LJT
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
ON OR ABOUT (B)(6) 2019, PATIENT UNDERWENT PLACEMENT OF AN ANGIODYNAMICS XCELA PORT CATHETER PRODUCT, LOT NUMBER 144098000. THE DEVICE WAS IMPLANTED BY DR. (B)(6). ON OR ABOUT (B)(6) 2019, PATIENT PRESENTED TO (B)(6) MEDICAL CENTER WITH FEVER, WITH INCREASED PAIN. PATIENT WAS SUBSEQUENTLY DIAGNOSED WITH AN INFECTION. ON OR ABOUT (B)(6) 2019, PATIENT'S PORT WAS REMOVED BY DR. (B)(6).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 735885 | XCELA | PORT | LJT | PFM MEDICAL CPP SA | 144098000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Life Threatening| R |