FDA Adverse Event
Summary report: N
INSYTE AUTOGUARD
MDR report key: 1222245
·
Received October 28, 2008
Report
- Report Number
- 1222245
- Date Received
- October 28, 2008
- Date of Event
- October 6, 2008
- Report Date
- October 28, 2008
- Manufacturer
- BD INFUSION THERAPY SYSTEMS, INC.
- Product Code
- FOZ
- Report Source
- User Facility report
- Reporter Location
- NJ, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
NEEDLE RETRACTED AND COULD NOT THREAD CATHETER, PATIENT REQUIRED RESTICK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INSYTE AUTOGUARD | CATHETER, IV | FOZ | BD INFUSION THERAPY SYSTEMS, INC. | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |