FDA Adverse Event
Summary report: N
ARROW TRIPLE LUMEN CATHETER
MDR report key: 1844951
·
Received September 9, 2010
Report
- Report Number
- 1844951
- Date Received
- September 9, 2010
- Date of Event
- August 25, 2010
- Report Date
- September 1, 2010
- Manufacturer
- ARROW
- Product Code
- FOZ
- Report Source
- User Facility report
- Reporter Location
- MO, US
Narratives
Description of Event or Problem · 1
PATIENT IN SEVERE SHOCK WITH NECROTIZING INFECTION, ALSO HISTORY OF CARDIOMYOPATHY FROM CHEMOTHERAPY. DECIDED TO PLACE PULMONARY ARTERY (PA) CATHETER. THE FELLOW & INTERN EXCHANGED CENTRAL VENOUS LINE (CVL) FOR 8.5 FRENCH (FR) INTRODUCER. PRIOR TO EXCHANGE ALL 3 PORTS WERE CUT AND WIRED THROUGH REMAINING PORTION OF CVL. DISTAL PORT OF LINE WAS THEN LOST INTRAVASCULARLY DURING THE EXCHANGE. PATIENT HAD BRIEF RUNS OF ECTOPY AND HAD TO GO TO INTERVENTIONAL RADIOLOGY (IR) FOR RETRIEVAL.====================== HEALTH PROFESSIONAL'S IMPRESSION======================CHANGING LINE AND LOST ACCESS TO CATHETER FROM CUTTING LINE INSTEAD OF GOING THROUGH DISTAL PORT OF LINE. CATHETER TRAVELED TO RIGHT VENTRICLE (RV) AND REQUIRED RETRIEVAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ARROW TRIPLE LUMEN CATHETER | CATHETER | FOZ | ARROW | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 25 YR | OTHER| CHEMOTHERAPY |