BEUDAMED
    FDA Adverse Event Death Summary report: N

    BD DOT POWER TL 15CM PCACUTE DIAL FULL TRAY QUINTON SHORT TERM DIALYSIS CATH

    MDR report key: 18118575 · Received November 13, 2023

    Report

    Report Number
    MW5148009
    Event Type
    Death
    Date Received
    November 13, 2023
    Date of Event
    October 21, 2023
    Report Date
    November 7, 2023
    Manufacturer
    BD / BARD ACCESS SYSTEMS, INC.
    Product Code
    NIE
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    THE PATIENT IS A 79 YEAR OLD MALE WITH A PAST MEDICAL HISTORY SIGNIFICANT FOR CHRONIC LYMPHOCYTIC LEUKEMIA, GI NEUROENDOCRINE TUMOR WITH KNOWN LIVER METASTASIS PRESENTED TO GENESYS ON (B)(6) 2023 WITH COMPLAINT OF GENERALIZED WEAKNESS, ENCEPHALOPATHY, AND ABDOMINAL PAIN. ED IMAGING SHOWED A SMALL BOWEL OBSTRUCTION VERSUS ILEUS. THE PATIENT RECEIVED GI AND SURGERY CONSULTS AND DID DEVELOP SIGNIFICANT ACUTE KIDNEY INJURY. THE SMALL BOWEL OBSTRUCTION DID RESOLVE WITH CONSERVATIVE MANAGEMENT, HOWEVER, THE PATIENT DID REQUIRE HEMODIALYSIS TO TREAT HIS AKI IN WHICH A RIGHT INTERNAL JUGULAR QUINTON CATHETER WAS PLACED. IN THE EARLY MORNING HOURS OF (B)(6) 2023, THE PATIENT'S QUINTON CATHETER WAS DISLODGED/DISCONNECTED RESULTING IN EXSANGUINATING WARRANTING CODE INTERVENTIONS WHICH WERE NOT SUCCESSFUL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2239768 BD DOT POWER TL 15CM PCACUTE DIAL FULL TRAY QUINTON SHORT TERM DIALYSIS CATH CATHETER, HEMODIALYSIS, TRIPLE LUMEN, NON-IMPLANTED NIE BD / BARD ACCESS SYSTEMS, INC. BD DOT POWER TL 15CM PCACUTE DIA

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Male Death