BEUDAMED
    FDA Adverse Event Other Summary report: N

    EXTENSION SET

    MDR report key: 181791 · Received August 6, 1998

    Report

    Report Number
    6000001-1998-00513
    Event Type
    Other
    Date Received
    August 6, 1998
    Date of Event
    May 18, 1998
    Report Date
    August 4, 1998
    Manufacturer
    BAXTER HEALTHCARE CORP.
    Product Code
    FPA
    Report Source
    Manufacturer report

    Narratives

    Description of Event or Problem · 1

    PER USER FACILITY REPORT: "TOTAL PARENTAL NUTRITION FOUND RUNNING IN A PERIPHERAL SITE NOT IN PICC LINE (CENTRAL LINE). PICC LINE AND PERIPHERAL IV BOTH INSERTED IN RIGHT ARM." 77 Y/O PT. EVENT DATE 5/18/98. BAXTER 5 INCH MICRO EXTENSION SET INVOLVED. NO FURTHER INFO AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EXTENSION SET EXTENSION SET FPA BAXTER HEALTHCARE CORP. NA NA01

    Patients

    Seq Age Sex Outcome Treatment
    1