BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AGB+

    MDR report key: 1100546 · Received August 4, 2008

    Report

    Report Number
    MW5007892
    Event Type
    Injury
    Date Received
    August 4, 2008
    Date of Event
    August 2, 2008
    Report Date
    August 4, 2008
    Manufacturer
    ARROW INTERNATIONAL
    Product Code
    DQO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING INSERTION OF TLL CATH/FEMORAL GUIDEWIRE BROKE. MD WAS ABLE TO REMOVE REMAINING GUIDEWIRE WITH SOME RESISTANCE TIP INTACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AGB+ MULTI LUMEN CVC SUPER KIT DQO ARROW INTERNATIONAL 022508 1805

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention