BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARROW CATH RADIAL ARTERY

    MDR report key: 3111658 · Received May 8, 2013

    Report

    Report Number
    MW5030129
    Event Type
    Injury
    Date Received
    May 8, 2013
    Date of Event
    March 15, 2013
    Report Date
    May 8, 2013
    Manufacturer
    ARROW INTERNATIONAL, INC.
    Product Code
    DQX
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NURSE REPORTS DISCONTINUING ARTERIAL LINE AND CUT SUTURES AND WHEN PULLING OUT CATH, NOTED THE LINE WAS CUT LEAVING A PORTION RETAINED. UPON EXAMINATION, IT WAS NOTED THE EDGE APPEARED JAGGED AND WORN AND NOT A CLEAN CUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    202170 ARROW CATH RADIAL ARTERY ARTERIAL LINE DQX ARROW INTERNATIONAL, INC. RA-04020

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR