BEUDAMED
    FDA Adverse Event Injury Summary report: N

    L-CATH PEEL AWAY

    MDR report key: 39482 · Received September 24, 1996

    Report

    Report Number
    MW1009972
    Event Type
    Injury
    Date Received
    September 24, 1996
    Date of Event
    September 6, 1996
    Report Date
    September 17, 1996
    Manufacturer
    LUTHER MEDICAL PRODUCTS, INC.
    Product Code
    FOZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MIDLINE CATHETER REDRESSED THEN FLUSHED. LEAK NOTED AT CATHETER HUB JOINT. CATHETER REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 L-CATH PEEL AWAY MIDLINE CATHETER FOZ LUTHER MEDICAL PRODUCTS, INC. * LMP 1318

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Required Intervention