BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MICRO PUNCTURE KIT

    MDR report key: 19894137 · Received August 1, 2024

    Report

    Report Number
    MW5157925
    Event Type
    Injury
    Date Received
    August 1, 2024
    Date of Event
    July 1, 2024
    Report Date
    July 29, 2024
    Manufacturer
    TELEFLEX LLC
    Product Code
    DYB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    WIRE TIP BROKE OFF THE WIRE INSIDE THE PATIENT WHILE TWO WIRES WERE IN THE BODY FROM TWO DIFFERENT LEFT SUBCLAVIAN ACCESS SITES. WIRE TIP WAS RETRIEVED BY THE INTERVENTIONAL RADIOLOGY TEAM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    383781 MICRO PUNCTURE KIT INTRODUCER, CATHETER DYB TELEFLEX LLC IPN916062 73C2400407

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Female Required Intervention