BEUDAMED
    FDA Adverse Event Other Summary report: N

    BD L-CATH

    MDR report key: 466764 · Received June 16, 2003

    Report

    Report Number
    1710034-2003-00036
    Event Type
    Other
    Date Received
    June 16, 2003
    Date of Event
    March 13, 2003
    Report Date
    May 9, 2003
    Manufacturer
    BECTON DICKINSON INFUSION THERAPY SYSTEMS
    Product Code
    FOZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES PICC INSERTED AND BROKEN BETWEEN LINE AND STRAIN RELIEF. STRAIN RELIEF CAME APART FROM HUB AND PICC LINE PROPER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD L-CATH PERCUTANEOUS CATHETER FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS NA 2232055

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other