FDA Adverse Event
Other
Summary report: N
4FR V-CATH
MDR report key: 384487
·
Received March 21, 2002
Report
- Report Number
- MW1024465
- Event Type
- Other
- Date Received
- March 21, 2002
- Manufacturer
- HDC CORP
- Product Code
- DQO
- Report Source
- Voluntary report
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
AFTER 1 WEEK THE 4FR V-CATH. PICC HAD DEVELOPED HOLE NEAR CATH EXIT SITE AND HAD TO BE PULLED. OTHERWISE CATH INTACT WITHOUT INCIDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 4FR V-CATH | PICC LINE | DQO | HDC CORP | * | 1117 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 30 YR | Other |