FDA Adverse Event Other Summary report: N

BD FIRST PICC PERIPHERALLY INSERTED CENTRAL CATHETER

MDR report key: 1031759 · Received April 18, 2008

Report

Report Number
1710034-2008-00050
Event Type
Other
Date Received
April 18, 2008
Report Date
April 8, 2008
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS
Product Code
FOZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

ADD'L INFO HAS BEEN REQUESTED FROM THE CUSTOMER. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. DATE SUBMITTED: 04/17/2008.

Description of Event or Problem · 1

EIGHT HRS AFTER INSERTION OF THE CATHETER, INFLAMMATION AND IRRITATION APPEARED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BD FIRST PICC PERIPHERALLY INSERTED CENTRAL CATHETER PERCUTANEOUS CATHETER FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS NA 7239165

Patients

Seq Age Sex Outcome Treatment
1 UNK Other