BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BAXTER-HEALTHCARE CORP.

    MDR report key: 149750 · Received February 17, 1998

    Report

    Report Number
    MW1013011
    Event Type
    Injury
    Date Received
    February 17, 1998
    Date of Event
    February 16, 1998
    Report Date
    February 17, 1998
    Manufacturer
    BAXTER HEALTHCARE CORP. EDWARDS CVS DIV.
    Product Code
    DQO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    ND, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    RIGHT INTERNAL JUGULAR VENOUS SINGLE LUMEN CENTRAL CATHETER WAS INSERTED ON 2-11-98 WITHOUT COMPLICATION. ON 2-16-98-THE HUB OF CENTRAL LINE WAS FOUND WITH SUTURES INTACT BUT WAS NOT ATTACHED TO REST OF LINE. MD WAS CALLED TO TRY TO RETRIEVE, BUT UNABLE TO RETRIEVE. CHEST X-RAY WAS DONE; BROKEN OFF END OF CATHETER WAS IN RIGHT ATRIUM/IVC. PT EMERGENTLY WENT TO HEART CATH LAB TO HAVE LOST CATHETER RETRIEVED FROM VENA-CAVA WITHOUT COMPLICATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER-HEALTHCARE CORP. Implant MULTI-MED SL LUMEN CENTRAL VENOUS CATHETER DQO BAXTER HEALTHCARE CORP. EDWARDS CVS DIV. M11620K *

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Required Intervention