BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HDC CORPORATION

    MDR report key: 301776 · Received October 26, 2000

    Report

    Report Number
    301776
    Event Type
    Injury
    Date Received
    October 26, 2000
    Date of Event
    October 18, 2000
    Report Date
    October 25, 2000
    Manufacturer
    *
    Product Code
    DQO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    USING NEW HDC V-CATHETER (PERCUTANEOUS CENTRAL VENOUS CATHETER). THREADED IN; WOULD NOT THREAD. ATTEMPTED TO REMOVE BUT TIP REMAINED IN. ACCORDING TO INSTRUCTIONS, CATHETER CANNOT BE REMOVED WITH INTRODUCER STILL IN PLACE. USER ERROR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HDC CORPORATION V-CATH-PICC DQO * 350-72 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention