BEUDAMED
    FDA Adverse Event Other Summary report: N

    LANDMARK CATHETER

    MDR report key: 29586 · Received January 31, 1996

    Report

    Report Number
    MW1008229
    Event Type
    Other
    Date Received
    January 31, 1996
    Date of Event
    January 19, 1996
    Report Date
    January 25, 1996
    Manufacturer
    MENLO CARE, INC.
    Product Code
    DQO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PT EXPERIENCED FLUSHING OF FACE AFTER INFUSION OF TIMENTIN 3.1 GM IV VIA MIDLINE CATHETER. FLUSHING OCCURRED APPROX 1/2 HOUR POST INFUSION AND LASTED "A FEW MINUTES." PT'S CATHETER WAS PULLED 1/22/96 AND ANOTHER CATHETER WAS INSERTED (SAME MFR, BOTH CATHETERS MADE OF SAME MATERIAL AND FLUSHING STILL OCCURRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LANDMARK CATHETER VASCULAR ACCESS DEVICE DQO MENLO CARE, INC. 407052M

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR Other