PERITONEAL 8888423624

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 2019-04-23 for PERITONEAL 8888423624 manufactured by Covidien Mfg Solutions S.a..

Event Text Entries

[145370058] Title radiological insertion of tenckhoff catheters for peritoneal dialysis: a 1-year single-centre experience source clin kidney j, volume 7, 2014(23-26) date of publication: 23 september 2013. If information is provided in the future, a supplemental report will be issued. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[145370059] According to the literature source of study performed over the 12-month period, after post-insertion of dialysis catheter(s) which led to complications such as; catheter migration(13. 3%) but only one required surgical intervention. Minor pain issues were noted (20%) and bleeding around the exit site requiring suturing (6. 7%). Majority of the patients experienced minor pain/discomfort.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3009211636-2019-00102
MDR Report Key8541722
Report SourceFOREIGN,LITERATURE
Date Received2019-04-23
Date of Report2019-04-23
Date of Event2013-09-23
Date Mfgr Received2019-04-05
Date Added to Maude2019-04-23
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 NamePERITONEAL
Generic NameCATHETER, PERITONEAL, LONG-TERM INDWELLING
Product CodeFJS
Date Received2019-04-23
Model Number8888423624
Catalog Number8888423624
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 2019-04-23

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