BEUDAMED
    FDA Adverse Event Other Summary report: N

    BD VIALON

    MDR report key: 541523 · Received July 30, 2004

    Report

    Report Number
    541523
    Event Type
    Other
    Date Received
    July 30, 2004
    Date of Event
    July 15, 2004
    Report Date
    July 30, 2004
    Manufacturer
    BECTON DICKINSON INFUSION THER
    Product Code
    FOZ
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    INTRAVENOUS NURSE IN EMERGENCY DEPARTMENT TO PLACE IV LINE. BD SAF-T-INTIMA 22GA CATHETER DID NOT RESHEATH PROPERLY. NO HARM TO PROVIDER OR PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD VIALON BD SAF-T-INTIMA SAFETY SYSTEM WITH Y ADAPTER FOZ BECTON DICKINSON INFUSION THER * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *