inforMED
InjuryGBW

TENCKHOFF PERITONEAL CATHETER

Received Apr 14, 1993 · Event occurred Dec 1, 1992

Report 1713683-1993-00002 · MDR key 3474

Device

Generic name

Catheter

Manufacturer

Life Med

Model number

N/A

Catalog number

0018173000

Lot number

L2D006

Narrative

Description of Event or Problem

AFTER TWO MONTHS THE PATIENT ARRIVED TO THE HOSPITAL WITH THE EXTERNAL END OF THE CATHETER BROKEN AND HANGING ON THE XRD STRIPINVALID DATA - REGARDING SINGLE USE LABELING OF DEVICE. PATIENT MEDICAL STATUS PRIOR TO EVENT: UNKNOWN. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS NOT EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: NO DATA. RESULTS OF EVALUATION: NO DATA. CONCLUSION: NO DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: NONE OR UNKNOWN. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.