BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CELSITE

    MDR report key: 300318 · Received October 12, 2000

    Report

    Report Number
    MW1020150
    Event Type
    Injury
    Date Received
    October 12, 2000
    Date of Event
    October 3, 2000
    Report Date
    October 5, 2000
    Manufacturer
    B.BRAUN MED INC.
    Product Code
    LJT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT REFERRED TO HOSP FROM DR - PLACED ON TABLE. SITE PREPPED. BY FEMORAL APPROACH, CATHETER WAS SNARED AND RETRIEVED PER DR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CELSITE IMPLANTABLE VENOUS ACCESS SYSTEM LJT B.BRAUN MED INC. * 804910

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Required Intervention