InjuryGBW
UNKNOWN PERITONEAL DIALYSIS CATHETER
Received Oct 18, 2017 · Event occurred Oct 11, 2017
Report 3009211636-2017-05324 · MDR key 6959032
Device
Generic name
Catheter, Peritoneal
Manufacturer
Covidien Mfg Solutions S.a.Model number
UNK DYCatalog number
UNK DY
Product problems
- Break
- Break
Patient
60 YR
- Peritonitis
- Peritonitis
Narrative
Additional Manufacturer Narrative
A GOOD FAITH EFFORT WILL BE MADE TO OBTAIN THE APPLICABLE INFORMATION RELEVANT TO THE REPORT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
Description of Event or Problem
THE CUSTOMER REPORTS ON THE (B)(6) 2017 THE PATIENT INCURRED PERITONITIS AS A RESULT OF A RUPTURE OF THE PERITONEAL DIALYSIS CATHETER. THE PD TUBE WAS DAMAGED NEAR THE STOMACH. THE PATIENT HAD STOPPED PERITONEAL DIALYSIS TREATMENT. THE PATIENT SOUGHT INTERVENTION AND PURCHASED MEDICINE TO MANAGE THE ISSUE.