BEUDAMED
    FDA Adverse Event Other Summary report: N

    VISION ANTI-BLOK VENTRICULAR CATHETER

    MDR report key: 296688 · Received September 5, 2000

    Report

    Report Number
    2518608-2000-00005
    Event Type
    Other
    Date Received
    September 5, 2000
    Date of Event
    July 27, 2000
    Manufacturer
    PHOENIX BIOMEDICAL CORP.
    Product Code
    JXG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SN
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    "VALVE WAS IMPLANTED. VALVE WAS EXPLANTED ABOUT 10 DAYS LATER, NO FLOW WAS VISIBLE." (CATHETER WAS EXPLANTED WITH VALVE).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VISION ANTI-BLOK VENTRICULAR CATHETER VENTRICULAR CATHETER JXG PHOENIX BIOMEDICAL CORP. NA H0508

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other