BEUDAMED
    FDA Adverse Event Death Summary report: N

    V-CATH

    MDR report key: 107869 · Received July 25, 1997

    Report

    Report Number
    2925153-1997-00008
    Event Type
    Death
    Date Received
    July 25, 1997
    Report Date
    July 21, 1997
    Manufacturer
    HDC CORP.
    Product Code
    HDC
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CATHETER BROKE AT THE HUB. CATHETER WAS REMOVED VIA A CUTDOWN METHOD. PT IS FINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 V-CATH PICC HDC HDC CORP. 360-45 OR 380-45 1069 1038 OR 1069

    Patients

    Seq Age Sex Outcome Treatment
    1 * Death