BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BAXTER-HEALTHCARE CORP

    MDR report key: 156112 · Received March 12, 1998

    Report

    Report Number
    156112
    Event Type
    Injury
    Date Received
    March 12, 1998
    Date of Event
    February 16, 1998
    Report Date
    March 10, 1998
    Manufacturer
    BAXTER HEALTHCARE/EDWARDS CRITICAL-CARE DIVISION
    Product Code
    DQO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    ND, US
    Reporter Occupation
    RISK MANAGER

    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. PHYSICIAN 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 SINGLE LUMEN CENTRAL VENOUS CATHETER DQO BAXTER HEALTHCARE/EDWARDS CRITICAL-CARE DIVISION M1162OK *

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Required Intervention