FDA Adverse Event
Death
Summary report: N
FIRST PICC PERIPHERALLY INSERTED CENTRAL CATHETER
MDR report key: 732746
·
Received July 7, 2006
Report
- Report Number
- 1710034-2006-00061
- Event Type
- Death
- Date Received
- July 7, 2006
- Report Date
- June 16, 2006
- Manufacturer
- BECTON DICKINSON INFUSION THERAPY SYSTEMS, INC.
- Product Code
- LJS
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- NURSE
Narratives
Additional Manufacturer Narrative · 1
WE WERE UNABLE TO INVESTIGATE THIS INCIDENT AS THE LOT NUMBER IS UNK AND THE SAMPLE WAS NOT RETURNED FOR ANALYSIS.
Description of Event or Problem · 1
THE PATIENT DIES FROM PERFORATION. THE ACCOUNT IS CONCERNED THAT THE BD FIRST PICC CATHETERS ARE 'GROWING' IN THE PATIENTS AND THE HOSPITAL HAS BEGUN ROUTINE X-RAYS TO PREVENT FUTURE PROBLEMS. THE ACCOUNT WAS NOT WILLING TO GIVE ANY ADDITIONAL DETAILS REGARDING THIS INCIDENT. THEY DID STATE THAT THEY WERE NOT SURE THAT THE DEATH WAS THE FAULT OF THE BD FIRST PICC PRODUCT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FIRST PICC PERIPHERALLY INSERTED CENTRAL CATHETER | PERCUTANEOUS CATHETER | LJS | BECTON DICKINSON INFUSION THERAPY SYSTEMS, INC. | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Death |