FDA Adverse Event
Other
Summary report: N
BD L-CATH PERIPHERALLY INSERTED CENTRAL CATHETER
MDR report key: 1218884
·
Received October 30, 2008
Report
- Report Number
- 1710034-2008-00139
- Event Type
- Other
- Date Received
- October 30, 2008
- Date of Event
- September 25, 2008
- Report Date
- October 3, 2008
- Manufacturer
- BECTON DICKINSON INFUSION THERAPY SYSTEMS
- Product Code
- LJS
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE SAMPLE WAS RECEIVED ON 10/24/2008, AND IS CURRENTLY BEING DECONTAMINATED. UPON DECONTAMINATION AND COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. (B) (4). (B) (4).
Description of Event or Problem · 1
THE INSERTION OF THE L-CATH INTO ACF OF A PEDIATRIC PT WAS SUCCESSFUL. WHILE ATTEMPTING TO PLACE THE CATHETER IN A COILED POSITION UNDER A TRANSPARENT DRAPE, THE CATHETER BROKE APPROXIMATELY 1 CM AWAY FROM THE STRAIN RELIEF. THE CATHETER WAS REMOVED SUCCESSFULLY BY THE NURSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BD L-CATH PERIPHERALLY INSERTED CENTRAL CATHETER | PERCUTANEOUS CATHETER | LJS | BECTON DICKINSON INFUSION THERAPY SYSTEMS | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |