BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PORT INTRODUCER 7.0 FR

    MDR report key: 27564 · Received October 30, 1995

    Report

    Report Number
    MW1007506
    Event Type
    Malfunction
    Date Received
    October 30, 1995
    Date of Event
    October 19, 1995
    Report Date
    October 27, 1995
    Manufacturer
    HORIZON MEDICAL PRODUCTS
    Product Code
    LJT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    HORIZON MEDICAL PRODUCTS, INC. IS NOT THE MFR OF TEH INTRODUCER INVOLVED IN THE ABOVE REPORT. IT IS MFG BY B. BRAUN MEDICAL, INC. 824 TWELFTH AVE, PO BOX 4027, BETHLEHEM, PA 18018-0027.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PORT INTRODUCER 7.0 FR IMPLANTABLE PORT LJT HORIZON MEDICAL PRODUCTS 1-09967314

    Patients

    Seq Age Sex Outcome Treatment
    1 17 YR Other