BEUDAMED
    FDA Adverse Event Other Summary report: N

    NEO-V-CATH

    MDR report key: 473666 · Received July 23, 2003

    Report

    Report Number
    2925153-2003-00005
    Event Type
    Other
    Date Received
    July 23, 2003
    Date of Event
    April 9, 2003
    Report Date
    April 15, 2003
    Manufacturer
    HDC CORP.
    Product Code
    DQO
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A PERIPHERALLY INSERTED CENTRAL CATHETER WAS PLACED IN THE RIGHT SAPHENOUS IN 03 AND ADVANCED TO THE LEVEL OF DIAPHRAGM 25 CM. IT WORKED WELL BUT ON REMOVAL IN 03 ONLY 10.5 CM CAME OUT WITH NO TUGGING OR DISCONTINUATION FELT IN REMOVAL. THE TIP OF THE FOUND CATHETER HAS A BEVELED ANGLE, WITH A SLIGHT TEAR AT THE END. THE REMAINING PORTION OF CATHETER 14.5 CM WAS FOUND LODGED IN RIGHT FEMORAL VEIN. PT WAS TRANSFERRED TO ANOTHER FACILITY FOR TWO DAYS WHERE THE CATHETER WAS REMOVED. PT NOW DOING OK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEO-V-CATH INFUSION CATHETER DQO HDC CORP. NEO-V-CATH 2 FR SILASTIC 1031

    Patients

    Seq Age Sex Outcome Treatment
    1 5 DAY Hospitalization| R