BEUDAMED
    FDA Adverse Event Death Summary report: N

    V-CATH

    MDR report key: 123548 · Received October 1, 1997

    Report

    Report Number
    2925153-1997-00011
    Event Type
    Death
    Date Received
    October 1, 1997
    Date of Event
    August 30, 1997
    Report Date
    September 17, 1997
    Manufacturer
    HDC CORP.
    Product Code
    DQO
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    MIDLINE CATHETER WAS INSERTED INTO LEFT ANTECUBITAL VEIN OF A 81 YR OLD FEMALE PT WHO WAS BEEN TREATED FOR PNEUMONIA. NEXT DAY NURSE NOTICED APPROX ONE INCH OF TUBING WAS LYING ON SKIN UNDER THE TRANSPARENT DRESSING. AFTER REMOVING, NURSE DID NOT OBSERVED THE REMAINDER OF TUBING. X-RAYS OF SEVERAL AREAS OF PT'S BODY WERE TAKEN AND NO FORIEGN BODY WAS FOUND. PT'S CONDITION IS FINE, AND NO SYMPTOMS OR REACTIONS WERE REPORTED SINCE 08/30/97.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 V-CATH MIDLINE DQO HDC CORP. 360-08 1063

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR