FDA Adverse Event Other Summary report: N

SAF-T-INTIMA SHIELDED IV CATHETER

MDR report key: 1239165 · Received November 19, 2008

Report

Report Number
9610847-2008-00082
Event Type
Other
Date Received
November 19, 2008
Date of Event
January 1, 2008
Report Date
October 17, 2008
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS
Product Code
FOZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

WE ARE TRYING TO OBTAIN A SAMPLE FOR INVESTIGATION. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. (B) (4). (B) (4).

Description of Event or Problem · 1

THE HOSPITAL CLAIMS THAT SPECIFIC PTS ON THREE UNITS EXPERIENCED REDNESS FOLLOWED BY FEVER AND CELLULITIS SINCE THE HOSPITAL MOVED FROM THE SAFETY LOK BLOOD COLLECTION SET TO THE BD SAF-T-INTIMA FOR SUBQ PROCEDURES. THEY HAVE RULED OUT ANY OTHER POSSIBILITIES. THE DOCTORS HAVE REQUESTED REMOVAL OF THE SAF-T-INTIMA FROM THE CART AND A RETURN TO THE SLBCSET. THE EDUCATOR ADVISES THIS IS NOT SATISFACTORY AND HAS REQUESTED MORE NURSING TRAINING ON THE PRODUCT. INFECTION CONTROLS ARE NOW INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SAF-T-INTIMA SHIELDED IV CATHETER INTRAVASCULAR CATHETER FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS NA 8182689

Patients

Seq Age Sex Outcome Treatment
1 UNK Other