BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HICKMAN CATHETER

    MDR report key: 17005258 · Received May 24, 2023

    Report

    Report Number
    MW5117877
    Event Type
    Injury
    Date Received
    May 24, 2023
    Date of Event
    May 6, 2023
    Report Date
    May 23, 2023
    Manufacturer
    BARD ACCESS SYSTEMS, INC.
    Product Code
    LJS
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PHARMACIST
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    PATIENT INITIALS: (B)(6). DATE OF AWARENESS: (B)(6) 2023. PROVIDER REMS ID: (B)(6). REPORTER: PROVIDER HOSPITALIZATION START DATE: (B)(6) 2023, HOSPITALIZATION END DATE: (B)(6) 2023. 38YOF WITH PMH ON INFUSION WITH R SIDED HICKMANN CATHETER ADMITTED FOR CATHETER LINE INFECTION AND CELLULITIS. PATIENT UNDERWENT CATHETER REMOVAL IN OR AND TREATED WITH IV ANTIBIOTICS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    666959 HICKMAN CATHETER CATHETER, INTRAVASCULAR, THERAPEUTIC, LONG-TERM GREATER THAN 30 DAYS LJS BARD ACCESS SYSTEMS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 38 YR Female