BEUDAMED
    FDA Adverse Event Other Summary report: N

    ANGIOCATH PERIPHERAL VENOUS CATHETER

    MDR report key: 694497 · Received March 30, 2006

    Report

    Report Number
    9610847-2006-00007
    Event Type
    Other
    Date Received
    March 30, 2006
    Date of Event
    February 25, 2006
    Report Date
    February 28, 2006
    Manufacturer
    BECTON DICKINSON INFUSION THERAPY SYSTEMS
    Product Code
    FOZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE CATHETER WAS INSERTED 02/2006. ON 02/25/2006 THE CRITICAL CARE NURSE WAS REMOVING THE CATHETER AND FOUND ONLY A VERY SMALL PIECE OF THE CATHETER. THE PATIENT WAS TAKEN TO SPECIAL PROCEDURES WHERE REMOVAL WAS ATTEMPTED USING A SNARE; THIS WAS UNSUCCESSFUL. ON THE MORNING OF 02/2006, THE CATHETER WAS SURGICALLY REMOVED FROM THE GROIN AREA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGIOCATH PERIPHERAL VENOUS CATHETER INTRAVASCULAR CATHETER FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Required Intervention