BEUDAMED
    FDA Adverse Event Other Summary report: N

    BARD ACCESS

    MDR report key: 12288 · Received February 2, 1994

    Report

    Report Number
    12288
    Event Type
    Other
    Date Received
    February 2, 1994
    Date of Event
    January 20, 1994
    Report Date
    January 31, 1994
    Manufacturer
    BARD ACCESS SYSTEMS
    Product Code
    DQO
    Report Source
    User Facility report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CATHETER WAS PLACED ON 12/2/93 DUE TO PANCREATITIS AND LATER SUSPECTED AS CAUSE OF INFECTION. NEW TUBE PLACED 1/20/94.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD ACCESS Implant LEONARD TUBE FRENCH CATHETER DQO BARD ACCESS SYSTEMS 60063 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Other