BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MED COM INC

    MDR report key: 289176 · Received July 31, 2000

    Report

    Report Number
    289176
    Event Type
    Injury
    Date Received
    July 31, 2000
    Date of Event
    July 17, 2000
    Report Date
    July 31, 2000
    Manufacturer
    MED COM INC
    Product Code
    MSD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AR, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT IN HOSP FOR FEBRILE NEUTROPENIA. PT HAS PREVIOUSLY PLACED PLASMAPHERESIS CATHETER. AS PT WALKING TO BATHROOM, LINE CAUGHT ON BEDSIDE TABLE AND SNAPPED. RN CLAMPED LINE. PT TAKEN TO HAVE LINE REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MED COM INC PEDIATRIC HEMO CATH MSD MED COM INC 8FX18CM M919160

    Patients

    Seq Age Sex Outcome Treatment
    1 2 YR Required Intervention