BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PLEURX PLEURAL CATHETER KIT

    MDR report key: 14309487 · Received May 6, 2022

    Report

    Report Number
    14309487
    Event Type
    Injury
    Date Received
    May 6, 2022
    Date of Event
    April 22, 2022
    Report Date
    April 18, 2022
    Manufacturer
    CAREFUSION 2200, INC
    Product Code
    DWM
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    ATTEMPTING TO DE-CLOG PATIENT'S EXISTING PLEURX CATHETER BY FLUSHING WITH STERILE WATER THROUGH A CONNECTED PLEURX LOCKABLE DRAINAGE LINE AND THE CONNECTOR ON THE PLEURX CATHETER POPPED OFF DURING FLUSH. SLIDE CLAMP FROM LOCKABLE DRAINAGE LINE KIT IMMEDIATELY APPLIED. THORACENTESIS THEN PERFORMED FOR PATIENT TO DRAIN PLEURAL EFFUSION AND PLEURX CATHETER WAS REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    976180 PLEURX PLEURAL CATHETER KIT APPARATUS, SUCTION, PATIENT CARE DWM CAREFUSION 2200, INC 50-7000B 0001441804

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Required Intervention