BEUDAMED
    FDA Adverse Event Other Summary report: N

    BD FIRST PICC PERIPHERALLY INSERTED CENTRAL CATHETER

    MDR report key: 1003058 · Received February 22, 2008

    Report

    Report Number
    1710034-2008-00019
    Event Type
    Other
    Date Received
    February 22, 2008
    Date of Event
    December 15, 2007
    Report Date
    February 18, 2008
    Manufacturer
    BECTON DICKINSON INFUSION THERAPY SYSTEMS
    Product Code
    LJS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ATTEMPTS HAVE BEEN MADE TO OBTAIN ADD'L INFO. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. DATE SUBMITTED: 21 FEB 2008.

    Description of Event or Problem · 1

    BABY BORN IN 2007 AND CATHETER PLACED IN ANTECUBITAL SPACE OF LEFT ARM THE NEXT MONTH LATER. THREE DAYS LATER, SHOULDER NOTED TO EXHIBIT OEDEMA. OEDEMA TREATED WITH BISEPTINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD FIRST PICC PERIPHERALLY INSERTED CENTRAL CATHETER PERCUTANEOUS CATHETER LJS BECTON DICKINSON INFUSION THERAPY SYSTEMS NA 7159090

    Patients

    Seq Age Sex Outcome Treatment
    1 Other BISEPTINE