FDA Adverse Event
Death
Summary report: N
GROSHONG CATHETER
MDR report key: 289300
·
Received August 7, 2000
Report
- Report Number
- 1720496-2000-00500
- Event Type
- Death
- Date Received
- August 7, 2000
- Report Date
- June 29, 2000
- Manufacturer
- BARD ACCESS SYSTEMS
- Product Code
- DQO
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
Narratives
Description of Event or Problem · 1
CATHETER PLACED IN 1999. FOUND PINHOLE IN CATHETER DURING CHEMOTHERAPY INFUSION. PT BEGAN COMPLAINING OF BURNING IN CHEST. REMOVED CATHETER. PT DEVELOPED PNEUMONIA AND EXPIRED. NO DETERMINED CAUSE OF DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | GROSHONG CATHETER | LONG TERM INTRAVASCULAR CATHETER | DQO | BARD ACCESS SYSTEMS | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |