BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BARD ACCESS SYSTEMS

    MDR report key: 279588 · Received May 26, 2000

    Report

    Report Number
    279588
    Event Type
    Injury
    Date Received
    May 26, 2000
    Date of Event
    March 27, 2000
    Report Date
    April 20, 2000
    Manufacturer
    BARD ACCESS SYSTEMS
    Product Code
    FJS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    KS, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT HAD PERITONEAL DIALYSIS CATH PLACED IN 1999 - CATH CURL ADULT PERITONEAL. PT ATTEMPTED TO USE CATH 1 WEEK AGO FRIDAY AND UNABLE TO DO SO. X-RAYS DETERMINED CATH WAS SEVERED - PT SCHEDULED FOR REMOVAL AND REPLACEMENT OF CATHETER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD ACCESS SYSTEMS CATH CURL ADULT PERITONEAL FJS BARD ACCESS SYSTEMS * 82E10066

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Required Intervention