BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARROW

    MDR report key: 417173 · Received August 15, 2002

    Report

    Report Number
    417173
    Event Type
    Injury
    Date Received
    August 15, 2002
    Date of Event
    June 19, 2002
    Report Date
    August 8, 2002
    Manufacturer
    ARROW INTL., INC.
    Product Code
    CAZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    EPIDURAL CATHETER WAS PLACED. UPON REMOVAL OF CATHETER: REMOVAL BECAME DIFFICULT. CATHETER SNAPPED AT 14IN AND IMMEDIATELY RETRACTED SKIN. SURGICAL REMOVAL OF CATHETER BECAME NECESSARY ON 07/2002.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARROW EPIDURAL CATHETERIZATION KIT. 19G CAZ ARROW INTL., INC. AK 05503 RF2010433

    Patients

    Seq Age Sex Outcome Treatment
    1 20 YR Required Intervention