FDA Adverse Event Injury Summary report: N

ARTERIAL CATHETER

MDR report key: 34530 · Received July 8, 1996

Report

Report Number
34530
Event Type
Injury
Date Received
July 8, 1996
Date of Event
April 17, 1996
Report Date
April 25, 1996
Manufacturer
DLP, INC.
Product Code
DWF
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CATHETER SEPARATED FROM HUB FOLLOWING INSERTION ALLOWING BLOOD LEAKAGE. THE FIRST TWO CATHETERS WERE NOT RETAINED. THERE WERE NO PERMANENT SEQUELAE AS A RESULT OF ANY OF THE INCIDENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARTERIAL CATHETER ARTERIAL CATHETER DWF DLP, INC. 5FR X 24 IN 6951-1006

Patients

Seq Age Sex Outcome Treatment
1 74 YR Required Intervention