BEUDAMED
    FDA Adverse Event Other Summary report: N

    V-CATH

    MDR report key: 494030 · Received October 20, 2003

    Report

    Report Number
    2925153-2003-00009
    Event Type
    Other
    Date Received
    October 20, 2003
    Date of Event
    August 22, 2003
    Report Date
    September 1, 2003
    Manufacturer
    HDC CORP.
    Product Code
    DQY
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    USER HAVING DIFFICULTY REMOVING CATHETERS. IN AUGUST, SURGEON HAD TO DO EMERGENCY REMOVEL UNDER FLOURO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 V-CATH PICC CATHETER DQY HDC CORP. V-CATH 3 FR 1001

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other| R