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