BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LANDMARK MIDLINE CATHETER

    MDR report key: 28265 · Received November 27, 1995

    Report

    Report Number
    MW1007766
    Event Type
    Injury
    Date Received
    November 27, 1995
    Date of Event
    October 31, 1995
    Report Date
    November 1, 1995
    Manufacturer
    MENLO CARE, INC.
    Product Code
    DQO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CATHETER INSERTED IN BASILIC VEIN WITHOUT DIFFICULTY. AS CATHETER WAS ADVANCED, PT BECAME SHORT OF BREATH, HAD DECREASED 02 SATS AND EXPERIENCED CHEST PAIN. SHE WAS GIVEN TWO SUBLINGUAL NITROGLYCERIN AND TRANSFERRED TO UNIT. PT IMPROVED WITH NTG AND O2, O2 SATS 82 %. SUSPECT: ANAPHYLACTIC REACTION TO CATHETER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LANDMARK MIDLINE CATHETER INTRAVASCULAR CATHETER DQO MENLO CARE, INC. CD02835 A

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Hospitalization| L| R