FDA Adverse Event
Other
Summary report: N
BD L-CATH PERIPHERALLY INSERTED CENTRAL CATHETER
MDR report key: 1518974
·
Received October 28, 2009
Report
- Report Number
- 1710034-2009-00194
- Event Type
- Other
- Date Received
- October 28, 2009
- Date of Event
- September 10, 2009
- Report Date
- October 13, 2009
- Manufacturer
- BECTON DICKINSON INFUSION THERAPY SYSTEMS, INC.
- Product Code
- LJS
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- NURSE
Narratives
Additional Manufacturer Narrative · 1
THE SAMPLE HAS BEEN RECEIVED AND IS CURRENTLY BEING INVESTIGATED. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. (B)(4).
Description of Event or Problem · 1
THE CATHETER WAS INSERTED ON (B)(6)2009 AND WAS FOUND LEAKING AT THE WHITE Y CONNECTOR WHEN FLUSHING. THE CATHETER WAS REMOVED ON (B)(6)2009.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BD L-CATH PERIPHERALLY INSERTED CENTRAL CATHETER | PERCUTANEOUS CATHETER | LJS | BECTON DICKINSON INFUSION THERAPY SYSTEMS, INC. | NA | 7269480 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other | CHEMOTHERAPY |