BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIFEPORT VASCULAR ACCESS SYSTEM

    MDR report key: 38094 · Received September 11, 1996

    Report

    Report Number
    1219454-1996-00400
    Event Type
    Injury
    Date Received
    September 11, 1996
    Date of Event
    August 13, 1996
    Report Date
    September 11, 1996
    Manufacturer
    STRATO/INFUSAID, INC.
    Product Code
    LJT
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    NA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFEPORT VASCULAR ACCESS SYSTEM Implant VASCULAR ACCESS DEVICE LJT STRATO/INFUSAID, INC. NA 13174

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention