BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 154178 · Received February 23, 1998

    Report

    Report Number
    MW1013103
    Event Type
    Injury
    Date Received
    February 23, 1998
    Date of Event
    January 31, 1998
    Report Date
    February 2, 1998
    Manufacturer
    UNK
    Product Code
    DQO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    LEAK IN PICC LINE APPROX 1/2" UNDER PT'S SKIN. PT WAS BLEEDING AT SITE. UNABLE TO STOP. REC'D DR'S ORDERS TO D/C PICC 7 DISCOVERED HOLE IN PICC LINE D/CED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * PICC DQO UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention