BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CENTRAL LINE

    MDR report key: 1800934 · Received August 10, 2010

    Report

    Report Number
    MW5017063
    Event Type
    Injury
    Date Received
    August 10, 2010
    Date of Event
    July 30, 2010
    Report Date
    August 3, 2010
    Manufacturer
    ARROW
    Product Code
    DQY
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    STAFF WERE ATTEMPTING TO PLACE A CATH OVER A GUIDEWIRE BUT COULD NOT. THEY PULLED BACK ON THE GUIDEWIRE SEVERAL CM'S AND NOTED A KINK IN THE GUIDEWIRE. A SECOND ATTEMPT WAS MADE WITHOUT SUCCESS. THE PT DID GO AND HAVE A LEFT FEMORAL PLACED UNDER ULTRASOUND GUIDANCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CENTRAL LINE DQY ARROW RF0059387

    Patients

    Seq Age Sex Outcome Treatment
    1 25 YR Required Intervention