BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PETITE PORT-A-CATH, 7 FR

    MDR report key: 30462 · Received February 23, 1996

    Report

    Report Number
    MW4001076
    Event Type
    Injury
    Date Received
    February 23, 1996
    Report Date
    October 26, 1995
    Manufacturer
    HORIZON MEDICAL PRODUCTS, INC.
    Product Code
    LJT
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE MFR OF THE DEVICE IS: COOK PACEMAKER CORP. PO BOX 529, LEECHBURG PA 15656.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PETITE PORT-A-CATH, 7 FR VASCULAR ACCESS SYSTEM LJT HORIZON MEDICAL PRODUCTS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 *