BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VITAL-PORT

    MDR report key: 54256 · Received December 6, 1996

    Report

    Report Number
    2522007-1996-00009
    Event Type
    Injury
    Date Received
    December 6, 1996
    Date of Event
    August 20, 1996
    Manufacturer
    COOK PACEMAKER CORP.
    Product Code
    LJT
    Removal / Correction Number
    3/92
    Report Source
    Manufacturer report

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VITAL-PORT PORT-A-CATH LJT COOK PACEMAKER CORP. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 *