BEUDAMED
    FDA Adverse Event Summary report: N

    CHEMOSITE VENOUS ACCESS SYSTEM

    MDR report key: 30562 · Received January 8, 1995

    Report

    Report Number
    30562
    Date Received
    January 8, 1995
    Manufacturer
    DEVICE LABS, INC.
    Product Code
    LJT
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MALFUNCTIONING PORT. CONTRAST MEDIA STUDIES SHOW LEAK MID-POINT OF CATHETER. PORT REMOVED AND NEW PORT IMPLANTED ON 7/13/95.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CHEMOSITE VENOUS ACCESS SYSTEM VENOUS ACCESS DEVICE LJT DEVICE LABS, INC. 9404

    Patients

    Seq Age Sex Outcome Treatment
    1 *