BEUDAMED
    FDA Adverse Event Other Summary report: N

    IDEAS PORT

    MDR report key: 23962 · Received November 29, 1994

    Report

    Report Number
    1033972-1994-00007
    Event Type
    Other
    Date Received
    November 29, 1994
    Report Date
    October 25, 1994
    Manufacturer
    IDEAS FOR MEDICINE
    Product Code
    LTH
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DISTRIBUTOR FOUND OUT ABOUT THE EXPLANT FROM MFG. ON 10/20/94, BECAUSE PT CALLED MFG CONCERNING PAYMENT OF HER BILLS.THE DEVICE WAS EXPLANTED AT ONE OF THE MFG'S A HOSPITAL ACCOUNTS, 0N 9/2/94. NO FURTHER INFORMATION WAS GIVEN TO MFG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IDEAS PORT Implant VASCULAR ACCESS DEVICE LTH IDEAS FOR MEDICINE IP2001 UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other