BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERGLIDE MIDLINE CATHETER

    MDR report key: 4080815 · Received September 5, 2014

    Report

    Report Number
    MW5038119
    Event Type
    Malfunction
    Date Received
    September 5, 2014
    Date of Event
    September 2, 2014
    Report Date
    September 5, 2014
    Manufacturer
    BARD ACCESS SYSTEMS, INC.
    Product Code
    FOZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OK, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A POWERGLIDE MIDLINE CATHETER WAS INSERTED INTO THE PT'S LEFT CEPHALIC VEIN. NO PROBLEMS WITH INSERTION, BUT WHEN THE MIDLINE DEVICE WAS DETACHED FROM THE CATHETER, THERE WAS NO GUIDEWIRE IN PLACE. AT THAT POINT, THE CATHETER WAS DISCONTINUED. X-RAYS AND SCANS WERE COMPLETED ON THE ARM AND ON THE CHEST. NO GUIDEWIRE WAS EVER FOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    543277 POWERGLIDE MIDLINE CATHETER MIDLINE CATHETER FOZ BARD ACCESS SYSTEMS, INC. REYG0297

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Other