BEUDAMED
    FDA Adverse Event Other Summary report: N

    CENTRAL VENOUS CATHETER TRAY

    MDR report key: 380978 · Received March 6, 2002

    Report

    Report Number
    1820334-2002-00028
    Event Type
    Other
    Date Received
    March 6, 2002
    Date of Event
    January 12, 2002
    Report Date
    January 14, 2002
    Manufacturer
    COOK, INC.
    Product Code
    DQO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    ATTEMPTING TO USE A 4 FRENCH 8CM DOUBLE LUMEN CATHETER DURING A PERCUTANEOUS CENTRAL LINE PLACEMENT. THE ANTIBIOTIC COATED CENTRAL VENOUS CATHETER WOULD NOT PASS OVER THE WIRE GUIDE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CENTRAL VENOUS CATHETER TRAY CENTRAL VENOUS CATHETER DQO COOK, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 17 MO Other