FDA Adverse Event
Injury
Summary report: N
DLP
MDR report key: 238477
·
Received September 1, 1999
Report
- Report Number
- MW1017095
- Event Type
- Injury
- Date Received
- September 1, 1999
- Date of Event
- August 27, 1999
- Report Date
- September 1, 1999
- Manufacturer
- DLP, INC.
- Product Code
- DYG
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- ATTORNEY
Narratives
Description of Event or Problem · 1
PHYSICIAN ATTEMPTED TO REMOVE RIGHT ATRIAL LINE, BUT MET RESISTANCE. HE RE-ATTEMPTED WITH SIMILAR PRESSURE AND THE LINE SNAPPED, LEAVING APPROXIMATELY 13 CM OF CATHETER IN THE BODY. THE PT WAS SENT TO THE CARDIAC CATHETERIZATION ROOM FOR RETRIEVAL OF THE REMAINING PORTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | DLP | TRANSTHORACIC LINE | DYG | DLP, INC. | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 7 MO | Required Intervention |