BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PICC LINE

    MDR report key: 4190261 · Received October 13, 2014

    Report

    Report Number
    MW5038688
    Event Type
    Injury
    Date Received
    October 13, 2014
    Date of Event
    September 2, 2014
    Report Date
    October 13, 2014
    Manufacturer
    BARD
    Product Code
    LJS
    Report Source
    Voluntary report
    Reporter Location
    US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    NEW PICC LINE PLACED AND NEEDED REPOSITIONED. DURING REPOSITIONING, GUIDEWIRE WAS RETAINED IN PATIENT'S ARM. PATIENT WENT TO (B)(6) THE NEXT DAY FOR SAFE REMOVAL OF THE RETAINED GUIDEWIRE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    647206 PICC LINE PICC LINE LJS BARD REYG0688

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Required Intervention