BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STREAMLINE MIDLINE CATHETER

    MDR report key: 35253 · Received August 14, 1996

    Report

    Report Number
    MW1009708
    Event Type
    Injury
    Date Received
    August 14, 1996
    Date of Event
    July 27, 1996
    Report Date
    July 31, 1996
    Manufacturer
    MENLO CARE, INC.
    Product Code
    FOZ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PLACED A CATHETER IN R BASILIC VEIN. WITHIN 2 MINS PT HAD FLUSHED HEAD, NECK, ARMS, LIGHT HEADED, FELT PT WAS SHORT OF BREATH, AWAKE, ALERT, ANXIOUS AND COMPLAINING OF SOMETHING BEING TERRIBLY WRONG. RPTR TOOK OUT THE LINE, GAVE 50 MG BENADRYL BY MOUTH. WITHIN 5 MINS THE PT WAS FEELING MUCH BETTER. 15 MINS LATER PT HAD HIVES ON LOWER LEGS. OBSERVED PT FOR 40 MINS THEN PT WENT HOME. NOT SHORT OF BREATH, FLUSHED OR ANXIOUS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STREAMLINE MIDLINE CATHETER PERIPHERALLY INSERTED MIDLINE CATHETER FOZ MENLO CARE, INC. 508 311 M

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Life Threatening| R