FDA Adverse Event Injury Summary report: N

SMART PORT CT

MDR report key: 24403413 · Received February 20, 2026

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

Additional Manufacturer Narrative · 0

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).

Description of Event or Problem · 0

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