BEUDAMED
    FDA Adverse Event Death Summary report: N

    SUBCLAVIAN CATHETER

    MDR report key: 15192 · Received August 11, 1994

    Report

    Report Number
    MW1003073
    Event Type
    Death
    Date Received
    August 11, 1994
    Report Date
    August 2, 1994
    Manufacturer
    BARD ACCESS SYSTEMS, INC.
    Product Code
    LJT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THIS CATHETER BROKE IN TWO CAUSING AIR EMBOLISM WHICH RESULTED IN DEATH. HOSP ALSO HAD TWO OTHER PTS THAT HAVE HAD CATHETERS BROKEN BUT IT DID NOT RESULT IN DEATH. (SAMPLE)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUBCLAVIAN CATHETER LJT BARD ACCESS SYSTEMS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Death