FDA Adverse Event
Summary report: N
SPECTRUM TURBO-JECT MINOCYCLINE
MDR report key: 1913261
·
Received November 17, 2010
Report
- Report Number
- 1913261
- Date Received
- November 17, 2010
- Date of Event
- November 5, 2010
- Report Date
- November 17, 2010
- Manufacturer
- COOK MEDICAL INC.
- Product Code
- LJS
- Report Source
- User Facility report
- Reporter Location
- UT, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
PICC TEAM WAS PLACING A PICC LINE. DURING THE PROCEDURE THE GUIDE WIRE BEGAN TO FRAY. IT WAS DIFFICULT TO PULL OUT OF THE PATIENT'S TISSUE. ONCE PULLED OUT, IT WAS CHECKED TO MAKE SURE IT WAS INTACT. THE WIRE AND THE NEEDLE WERE PLACED IN A HAZARDOUS WASTE CONTAINER TO BE GIVEN TO THE REP OF THE MANUFACTURER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SPECTRUM TURBO-JECT MINOCYCLINE | CATHETER, PICC | LJS | COOK MEDICAL INC. | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 77 YR |