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 |