BEUDAMED
    FDA Adverse Event Other Summary report: N

    BD NEXIVA

    MDR report key: 1731385 · Received June 18, 2010

    Report

    Report Number
    9610847-2010-00019
    Event Type
    Other
    Date Received
    June 18, 2010
    Date of Event
    June 1, 2010
    Report Date
    May 19, 2010
    Manufacturer
    BECTON DICKINSON INFUSION THERAPY SYSTEMS
    Product Code
    FOZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    NURSE

    Narratives

    Additional Manufacturer Narrative · 1

    NO SAMPLE AVAILABLE FOR INVESTIGATION. (B)(4). DATE SUBMITTED: 06/18/2010.

    Description of Event or Problem · 1

    RESPIRATORY ARREST FOLLOWING FLUSHING OF BD NEXIVA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD NEXIVA INTRAVASCULAR CATHETER FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other