BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GROSHONG CV CATHETER

    MDR report key: 25467 · Received January 10, 1995

    Report

    Report Number
    25467
    Event Type
    Injury
    Date Received
    January 10, 1995
    Date of Event
    November 28, 1994
    Report Date
    December 8, 1994
    Manufacturer
    C.R. BARD, INC.
    Product Code
    LLX
    Report Source
    User Facility report
    Reporter Location
    WV, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    HAD INITIAL GROSHONG CATHETER (SINGLE LUMEN) INSERTED 10/10/94. REMOVED IN PHYSICIAN OFFICE 11/28/94 AND SCHEDULED FOR REPLACEMENT 12/1/94.AFTER PLACING SECOND GROSHONG, CHEST X-RAY REVEALED EVIDENCE OF A PORTION OR TIP OF OLD GROSHONG CATHETER IN REGION OF RIGHT VENTRICLE. REQUIRED REMOVAL UNDER FLUOROSCOPIC GUIDANCE VENOUS ACCESS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GROSHONG CV CATHETER Implant CENTRAL VENOUS CATHETER LLX C.R. BARD, INC. 36EE0489

    Patients

    Seq Age Sex Outcome Treatment
    1 53 * Required Intervention