BEUDAMED
    FDA Adverse Event Death Summary report: N

    L CATH PEAL AWAY SYSTEM (DUAL CATH)

    MDR report key: 37595 · Received September 6, 1996

    Report

    Report Number
    37595
    Event Type
    Death
    Date Received
    September 6, 1996
    Date of Event
    August 30, 1996
    Report Date
    September 4, 1996
    Manufacturer
    LUTHER MEDICAL PRODUCTS, INC.
    Product Code
    FOS
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    UMBILLICAL VENOUS CATHETER FOUND TO BE FRACTURED IN THE RIGHT ATRIUM/VENTRICLE BY PATHOLOGIST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 L CATH PEAL AWAY SYSTEM (DUAL CATH) Implant BI LUMEN CATHETER 18 GA FOS LUTHER MEDICAL PRODUCTS, INC. * LMP 2904

    Patients

    Seq Age Sex Outcome Treatment
    1 5 DAY Death