BEUDAMED
    FDA Adverse Event Death Summary report: N

    HICKMAN DUAL LUMEN HEMODIALYSIS CATHETER, 13.5 FR

    MDR report key: 13939 · Received March 28, 1994

    Report

    Report Number
    13939
    Event Type
    Death
    Date Received
    March 28, 1994
    Date of Event
    March 8, 1994
    Report Date
    March 23, 1994
    Manufacturer
    BARD ACCESS SYSTEMS, INC.
    Product Code
    LFJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    UNSUCCESSFUL PLACEMENT OF SUBCLAVIAN HEMODIALYSIS CATHETER WITH FLUROSCOPIC, FOLLOWED BY SUCCESSFUL PLACEMENT OF ANOTHER DUAL LUMEN HEMODIALYSIS CATHETER. ACUTE CARDIAC ARREST WITH UNSUCCESSFUL CPR. PT EXPIRED. AUTOPSY REPORT SHOWED LEFT LACERATION OF RIGHT BRACHIOCEPHALIC VEIN, AND RIGHT HEMOTHORAX.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HICKMAN DUAL LUMEN HEMODIALYSIS CATHETER, 13.5 FR HEMODIALYSIS CATHETER LFJ BARD ACCESS SYSTEMS, INC. 36KD5875

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Death