BEUDAMED
    FDA Adverse Event Other Summary report: N

    BARD ACCESS SYSTEM

    MDR report key: 174302 · Received June 24, 1998

    Report

    Report Number
    MW4002246
    Event Type
    Other
    Date Received
    June 24, 1998
    Date of Event
    May 22, 1998
    Report Date
    May 26, 1998
    Manufacturer
    BARD ACCESS
    Product Code
    DQO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    GROSHONG CATHETER INSERTED 4/28/1998. NOT FUNCTIONING. RETURNED 5/22/1998 FOR REPLACEMENT. WHILE USING THE OLD CATHETER AS A GUIDE THE NEW CATHETER WAS INSERTED. WHEN THE OLD CATHETER WAS REMOVED, THE DISTAL TIP WAS MISSING. THE NEW CATHETER WAS SECURED, THE PT WAS AWAKEN AND TAKEN TO X-RAY WHERE THE TIP WAS RETURNED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD ACCESS SYSTEM Implant GROSHONG CV CATHETER DQO BARD ACCESS 7711800 36LH4199

    Patients

    Seq Age Sex Outcome Treatment
    1 25 YR Other