BEUDAMED
    FDA Adverse Event Other Summary report: N

    LANDMARK

    MDR report key: 39480 · Received September 24, 1996

    Report

    Report Number
    MW1009971
    Event Type
    Other
    Date Received
    September 24, 1996
    Date of Event
    September 8, 1996
    Report Date
    September 13, 1996
    Manufacturer
    MENLO CARE, INC.
    Product Code
    FOZ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CATHETER LINE INSERTED FOR DOPAMINE INFUSION. THREADED EASILY. PT COMPLAINED OF SEVERE PAIN IN BACK AND RIGHT ARM AND BECAME FLUSHED. BLOOD PRESSURE DROPPED 146/60 PULSE 64. CATHETER DISCONTINUED; PT'S COLOR IMPROVED, PAIN DECREASED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LANDMARK MIDLINE CATHETER FOZ MENLO CARE, INC. * 605273M

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR Other