SMART PORT CT
Report
- Report Number
- 1319211-2026-00047
- Event Type
- Injury
- Date Received
- February 20, 2026
- Date of Event
- September 23, 2020
- Report Date
- April 16, 2026
- Manufacturer
- ANGIODYNAMICS, INC.
- Product Code
- LJT
- UDI-DI
- 15051684018197
- PMA / PMN Number
- K062414
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- 003
Narratives
THE DEVICE IS NOT AVAILABLE TO BE RETURNED TO THE MANUFACTURER FOR EVALUATION. AN INVESTIGATION INTO THE ROOT CAUSE FOR THE EVENT IS CURRENTLY IN PROGRESS. THE RESULTS OF THE INVESTIGATION WILL BE SENT VIA A FOLLOW UP MEDWATCH. REFERENCE (B)(4).
ON OR ABOUT (B)(6) 2015, THE PLAINTIFF UNDERWENT PLACEMENT OF THE FOLLOWING: ANGIODYNAMICS' "POWER PORT." IDENTIFIED BY THE FOLLOWING: CATALOG NUMBER: CT96STSD-VI, LOT NUMBER: 4838077, LABEL PN 103035 REV. A, ANGIODYNAMICS, INC, FOR THE PURPOSES OF THE PLAINTIFF'S CONTINUED MEDICAL TREATMENT FOR SICKLE CELL ANEMIA AT A MEDICAL FACILITY LOCATED IN (B)(6). THIS ANGIODYNAMICS' DEVICE SUBSEQUENTLY CAUSED AN INFECTION TO DEVELOP IN THE PLAINTIFF. ACCORDINGLY, ON (B)(6) 2020, SURGERY WAS PERFORMED TO REMOVE THE PORT CATHETER, AND THE PLAINTIFF UNDERWENT EXTENSIVE TREATMENT FOR THE INFECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 473347 | SMART PORT CT | PORT & CATHETER, IMPLANTED, SUBCUTANEOUS, INTRAVASCULAR | LJT | ANGIODYNAMICS, INC. | H787CT96STSDVI1 | 4838077 | 15051684018197 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Hospitalization| L| O| R |