BARD A13402

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-12-24 for BARD A13402 manufactured by Bard.

Event Text Entries

[4127196] Found fragment of portacath in pulmonary artery. Portacath was inserted at (b)(6) hosp 4 weeks ago.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5033624
MDR Report Key3542276
Date Received2013-12-24
Date of Report2013-12-03
Date of Event2013-12-03
Date Added to Maude2013-12-31
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBARD
Generic NamePORTACATH
Product CodeLNY
Date Received2013-12-24
Model NumberA13402
Lot NumberUNK
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerBARD
Manufacturer AddressCOVINGTON GA US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2013-12-24

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