FDA Adverse Event
Malfunction
Summary report: N
BIOFLO MIDLINE CATHETER
MDR report key: 10257324
·
Received July 9, 2020
Report
- Report Number
- MW5095460
- Event Type
- Malfunction
- Date Received
- July 9, 2020
- Date of Event
- July 7, 2020
- Report Date
- July 7, 2020
- Manufacturer
- NAVILYST MEDICAL INC / ANGIODYNAMICS, INC.
- Product Code
- FOZ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
MIDLINE CATHETER PLACED (B)(6) 2020, FAILED (B)(6) 2020. UNABLE TO FLUSH EVEN FOLLOWING REMOVAL. PATIENT HAD LINE PLACED FOR CEFTRIAXONE INFUSIONS. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 719203 | BIOFLO MIDLINE CATHETER | CATHETER, INTRAVASCULAR, THERAPEUTIC, SHORT-TERM LESS THAN 30 DAYS | FOZ | NAVILYST MEDICAL INC / ANGIODYNAMICS, INC. | REF 46-012 | 5496934 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR | Other |