BEUDAMED
    FDA Adverse Event Other Summary report: N

    BARD

    MDR report key: 183440 · Received August 12, 1998

    Report

    Report Number
    MW1014441
    Event Type
    Other
    Date Received
    August 12, 1998
    Date of Event
    August 2, 1998
    Report Date
    August 12, 1998
    Manufacturer
    BARD ACCESS SYSTEMS INC.
    Product Code
    DQO
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DLG (GROSHONG) OCCLUSION. UNABLE TO FLUSH WITH 100CC NORMAL SALINE THROUGH INTRAVENOUS TUBING AT FIRST PORT. HOLE NOTED IN GROSHONG CATHETER LINE. THE LINE WAS REPAIRED BY A MEMBER OF THE HOSP'S INTRAVENOUS TEAM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD GROSHONG CATHETER DQO BARD ACCESS SYSTEMS INC. NI NI

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Other