BEUDAMED
    FDA Adverse Event Other Summary report: N

    V-CATH

    MDR report key: 554753 · Received November 11, 2004

    Report

    Report Number
    2925153-2004-00025
    Event Type
    Other
    Date Received
    November 11, 2004
    Date of Event
    November 10, 2004
    Report Date
    November 11, 2004
    Manufacturer
    HDC CORP.
    Product Code
    DQO
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE NURSE FELT SOME RESISTANCE DURING THE START OF THE PICC REMOVAL PROCESS. APPROXIMATELY 1/3 OF THE CATHETER WAS STUCK INTO PT'S LEFT ARM. AFTER FEW HOURS OF ATTEMPT, A SURGEON PERFORMED A CUT DOWN TECHNIQUE AND REMOVED SUCCESSFULLY THE ENTIRE CATHETER. PT WAS NOT INJURED AND IS DOING FINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 V-CATH 3FR V-CATH PICC DQO HDC CORP. 307-166 1004

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR Other