BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FIRST PICC CATHETER

    MDR report key: 345864 · Received August 6, 2001

    Report

    Report Number
    1710034-2001-00039
    Event Type
    Injury
    Date Received
    August 6, 2001
    Date of Event
    July 9, 2001
    Report Date
    August 6, 2001
    Manufacturer
    BECTON DICKINSON INFUSION THERAPY SYSTEMS
    Product Code
    DQO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE 1.9 FR CATHETER INSERTED 06/2001 WITH NO REPORTED COMPLICATIONS. ON EVENT DATE THE PICC LINE REQUIRING CUTDOWN TO REMOVE THE CATHETER FRAGMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    35521 FIRST PICC CATHETER PERCUTANEOUS CATHETER DQO BECTON DICKINSON INFUSION THERAPY SYSTEMS NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention