BEUDAMED
    FDA Adverse Event Injury Summary report: N

    C.R. BARD INC.

    MDR report key: 189694 · Received September 22, 1998

    Report

    Report Number
    189694
    Event Type
    Injury
    Date Received
    September 22, 1998
    Date of Event
    August 31, 1998
    Report Date
    September 10, 1998
    Manufacturer
    C.R. BARD, INC.
    Product Code
    DYB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHEN REMOVING SHEATH FROM THE R. FEMORAL VEIN, THE SHEATH BROKE OFF INSIDE OF THE PT. THE SHEATH WAS THEN REMOVED BY INSERTING ANOTHER SHEATH VIA L. GROIN AND A SNARE CATHETER WAS USED TO RETRIEVE THE BROKEN PORTION OF THE SHEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 C.R. BARD INC. 7 FR USCI SHEATH DYB C.R. BARD, INC. 006059 *

    Patients

    Seq Age Sex Outcome Treatment
    1 8 YR Required Intervention