BEUDAMED
    FDA Adverse Event Other Summary report: N

    QUINTIN

    MDR report key: 466801 · Received June 13, 2003

    Report

    Report Number
    1282497-2003-00017
    Event Type
    Other
    Date Received
    June 13, 2003
    Report Date
    June 5, 2003
    Manufacturer
    TYCOHEALTHCARE/KENDALL
    Product Code
    KOC
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THE TYCOHEALTHCARE/KENDALL THAT A CUSTOMER HAD A PROBLEM WITH A QUINTIN CATHETER ADAPTER. ACCORDING TO THE CUSTOMER "THERE WAS A SEPARATION OF QUINTON CATHETER ADAPTER FROM PT'S PERITONEAL CATHETER. THE PT HAD PROPHALACTIC ANTIBIOTICS INSTILLED."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUINTIN PERITONEAL DIALYSIS CATHETER ADAPTER KOC TYCOHEALTHCARE/KENDALL * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 *