FDA Adverse Event
Other
Summary report: N
V. CATH
MDR report key: 678471
·
Received February 23, 2006
Report
- Report Number
- 2925153-2006-00010
- Event Type
- Other
- Date Received
- February 23, 2006
- Report Date
- February 23, 2006
- Manufacturer
- HDC CORPORATION
- Product Code
- DQO
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- EC
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
A HOSPITAL EXPERIENCED THE FOLLOWING: CATHETER BROKE, WHEN REMOVING THE STYLET (GUIDEWIRE); HOLES IN THE CATHETER WHEN REMOVING THE STYLET (GUIDEWIRE); COLLAPSE BETWEEN THE HUB AND CATHETER WHEN REMOVING THE STYLET (GUIDEWIRE).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | V. CATH | ACCESS DEVICE | DQO | HDC CORPORATION | 355-72 | NOT PROVIDED |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |