BEUDAMED
    FDA Adverse Event Summary report: N

    PORT-A-CATH

    MDR report key: 31530 · Received January 29, 1996

    Report

    Report Number
    31530
    Date Received
    January 29, 1996
    Date of Event
    July 22, 1995
    Report Date
    January 19, 1996
    Manufacturer
    BARD ACCESS SYSTEMS, INC.
    Product Code
    LJT
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ON OR ABOUT JULY 22, 1995 A PATIENT WAS BROUGHT INTO HOSPITAL. A FRAGMENT OF A CATHETER HAD APPARENTLY DISLODGED. THE PATIENT UNDERWENT A TRANSCATHETER RETRIEVAL IN RADIOLOGY FOR REMOVAL OF THE FRAGMENT. CATHETER WAS PLACED AT ANOTHER HOSPITAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PORT-A-CATH IMPLANTABLE PORT LJT BARD ACCESS SYSTEMS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO