FDA Adverse Event
Injury
Summary report: N
BIOFLO MIDLINE CATHETER
MDR report key: 10448120
·
Received August 24, 2020
Report
- Report Number
- MW5096223
- Event Type
- Injury
- Date Received
- August 24, 2020
- Date of Event
- August 19, 2020
- Report Date
- August 20, 2020
- Manufacturer
- ANGIODYNAMICS/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 (DUAL LUMEN) WAS ABOUT TO BE INSERTED, BUT ONE LUMEN COULD NOT BE FLUSHED SO THE CATHETER WAS SEQUESTERED. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 910966 | BIOFLO MIDLINE CATHETER | CATHETER, INTRAVASCULAR, THERAPEUTIC, SHORT-TERM LESS THAN 30 DAYS | FOZ | ANGIODYNAMICS/NAVILYST MEDICAL INC. / ANGIODYNAMICS, INC. | UPN H965460140 | 5601864 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 YR | Required Intervention |