FDA Adverse Event
Summary report: N
AVA HF-ADVANCED VENOUS ACCESS DEVICES
MDR report key: 1889451
·
Received October 29, 2010
Report
- Report Number
- 1889451
- Date Received
- October 29, 2010
- Date of Event
- October 26, 2010
- Report Date
- October 29, 2010
- Manufacturer
- EDWARD LIFESCIENCES LLC
- Product Code
- DQO
- Report Source
- User Facility report
- Reporter Location
- VA, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
PHYSICIAN WAS CHANGING OUT A CENTRAL LINE OVER A WIRE. THEY PASSED THE WIRE THROUGH THE CATHETER AND IT GOT STUCK IN THE SIDE AND ALMOST SNAPPED. ALTHOUGH THIS WAS IN THE PT WHEN THIS HAPPENED THEY WERE ABLE TO GET IT OUT AND THE PT WAS NOT HARMED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | AVA HF-ADVANCED VENOUS ACCESS DEVICES | AVA HF-ADVANCED VENOUS ACCESS DEVICES | DQO | EDWARD LIFESCIENCES LLC | * | 58749675 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR |