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