BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CENTERMARK CATHETER

    MDR report key: 34826 · Received July 16, 1996

    Report

    Report Number
    34826
    Event Type
    Injury
    Date Received
    July 16, 1996
    Date of Event
    July 5, 1996
    Report Date
    July 16, 1996
    Manufacturer
    MENLO CARE, INC.
    Product Code
    DQO
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    WA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PICC LINE PLACED. LINE BEING SLOWLY ADVANCED SUCCESSFULLY. PT C/O BEING "DIZZY" AND FLUSHED, C/O SHORTNESS OF BREATH, BECAME HYPOTENSIVE. PT SENT TO ICU. CATH REMOVED. PT STABILIZED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CENTERMARK CATHETER CATHETER DQO MENLO CARE, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Required Intervention