BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ANGIODYNAMICS

    MDR report key: 471428 · Received July 11, 2003

    Report

    Report Number
    471428
    Event Type
    Injury
    Date Received
    July 11, 2003
    Date of Event
    May 29, 2003
    Report Date
    June 17, 2003
    Manufacturer
    ANGIODYNAMICS
    Product Code
    MSD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OK, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    OUTPATIENT WAS HAVING A LONGTERM HEMODIALYSIS CATHETER REMOVED BECAUSE THEY HAVE A WORKING FISTULA FOR DIALYSIS ACCESS. THE CATHETER BROKE AND BECAME LODGED IN THE RIGHT PULMONARY ARTERY. PT WAS THEN PREPPED AND DRAPED FOR TRANSCATHETER RETRIEVAL OF FOREIGN BODY AND COMPLETED SUCCESSFULLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGIODYNAMICS 14CM SCHONCATH MSD ANGIODYNAMICS * NA

    Patients

    Seq Age Sex Outcome Treatment
    1 27 YR Required Intervention