DIALYSIS UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,literature report with the FDA on 2019-04-22 for DIALYSIS UNKNOWN manufactured by Covidien Mfg Solutions S.a..

Event Text Entries

[142735614] (b)(4) title bilateral central vein stenosis: options for dialysis access and renal replacement therapy when all upper extremity access possibilities have been lost source j vasc access, volume 15, 2014(466-473) article number: 6 date of publication: 2 april 2014. If information is provided in the future, a supplemental report will be issued. [pe# (b)(4)].
Patient Sequence No: 1, Text Type: N, H10


[142735615] According to literature source of study performed between january 2009 and december 2012, on 146 patients with end-stage renal disease (esrd) to compare patency rates of different access and renal replacement treatment (rrt) modalities in patients with bilateral central vein stenosis/occlusion. One hundred forty-six vascular access modalities were attempted in 62 patients, of which 8 had received pd (peritoneal dialysis) catheter inserted into the peritoneum. It was stated in the study that on the 8 pd group 2 had culture-proven bacteraemia. No patients died as a result of loss of access. There was no reported patient outcome.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3009211636-2019-00101
MDR Report Key8537940
Report SourceFOREIGN,LITERATURE
Date Received2019-04-22
Date of Report2019-04-22
Date Mfgr Received2019-04-11
Date Added to Maude2019-04-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactLISA HERNANDEZ
Manufacturer Street15 HAMPSHIRE STREET
Manufacturer CityMANSFIELD MA 02048
Manufacturer CountryUS
Manufacturer Postal02048
Manufacturer Phone2034925563
Manufacturer G1COVIDIEN MFG SOLUTIONS S.A.
Manufacturer StreetEDIFICIO B20, CALLE #2
Manufacturer CityALAJUELA 20101
Manufacturer Postal Code20101
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDIALYSIS UNKNOWN
Generic NameCATHETER, PERITONEAL, LONG-TERM INDWELLING
Product CodeFJS
Date Received2019-04-22
Model NumberDIALYSIS UNKNOWN
Catalog NumberDIALYSIS UNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN MFG SOLUTIONS S.A.
Manufacturer AddressEDIFICIO B20, CALLE #2 ALAJUELA 20101 20101


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-04-22

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