FDA Adverse Event
Injury
Summary report: N
V-CATH PICC
MDR report key: 394456
·
Received March 29, 2002
Report
- Report Number
- 2925153-2002-00005
- Event Type
- Injury
- Date Received
- March 29, 2002
- Date of Event
- February 19, 2002
- Report Date
- March 19, 2002
- Manufacturer
- HDC CORPORATION
- Product Code
- DQO
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
CATHETER HAD BEEN INSERTED AND THEN FRACTURED RESULTING IN THE PT GOING BACK TO THE THEATRE TO HAVE THE LINE REMOVED, BUT PART OF THE LINE CAN NOT BE REMOVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | V-CATH PICC | 2FR CATHETER | DQO | HDC CORPORATION | 350-78 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |