BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BARD ACCESS SYSTEMS

    MDR report key: 455446 · Received March 31, 2003

    Report

    Report Number
    455446
    Event Type
    Injury
    Date Received
    March 31, 2003
    Date of Event
    March 26, 2003
    Report Date
    March 31, 2003
    Manufacturer
    *
    Product Code
    DYB
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT HAD PICC INSERTED-GUIDEWIRE SLIPPED THROUGH INTRODUCER INTO ARM. PT HAD TO BE TRANSPORTED TO ANOTHER HOSPITAL TO RETREIVE GUIDEWIRE THROUGH FEMORAL ARTERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD ACCESS SYSTEMS UNIVERSAL MICROINTRODUCER KIT DYB * * 22AN2559

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Required Intervention