FDA Adverse Event Other Summary report: N

ARROW

MDR report key: 5367457 · Received June 20, 2005

Report

Report Number
5367457
Event Type
Other
Date Received
June 20, 2005
Date of Event
June 6, 2005
Report Date
June 17, 2005
Manufacturer
ARROW INTERNATIONAL, INC.
Product Code
CAZ
Report Source
User Facility report
Reporter Location
MO, US
Reporter Occupation
2

Narratives

Description of Event or Problem · 1

((B)(4)). PT RECEIVED EPIDURAL WHICH WAS PLACED BY DR (B)(6). AFTER DELIVERY PT WAS PLACED IN PROPER POSITION TO REMOVE EPIDURAL CATHETER. MINIMAL RESISTANCE WAS MET WITH EPIDURAL CATH REMOVAL. EPIDURAL CATH WAS SLOWLY PULLING OUT, AND THEN SUDDENLY SNAPPED BACK. END OF CATHETER WAS NOTED TO BE FRAYED, TIP WAS NOT INTACT. DR. (B)(6) NOTIFIED OF EVENT, AND STATED THAT ANESTHESIA WOULD ASSESS PT IN THE AM. PT WAS NOTIFIED OF EVENT AND PLAN OF CARE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARROW ANESTHESIOLOGY PRODUCTS CAZ ARROW INTERNATIONAL, INC. HAVE POTENTIAL H'S

Patients

Seq Age Sex Outcome Treatment
1 31 YR