BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FIRST CATH 1.9 FRENCH

    MDR report key: 378199 · Received February 22, 2002

    Report

    Report Number
    378199
    Event Type
    Injury
    Date Received
    February 22, 2002
    Date of Event
    January 10, 2002
    Report Date
    January 19, 2002
    Manufacturer
    BD MEDICAL SYSTEMS
    Product Code
    DQO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    FIRST CATH PICC LINE INSERTED IN LEFT SAPHENOUS VEIN FOR HOME ADMINISTRATION OF ANTIBIOTICS. CATHETER DEVELOPED A HOLE IN IT, AND HAD TO BE REMOVED. NEW V-CATH INSERTED THE NEXT DAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FIRST CATH 1.9 FRENCH PICC LINE CATHETER DQO BD MEDICAL SYSTEMS * 108884 OR 109917

    Patients

    Seq Age Sex Outcome Treatment
    1 3 MO Required Intervention