BEUDAMED
    FDA Adverse Event Other Summary report: N

    BARD FOLEY

    MDR report key: 799144 · Received December 27, 2006

    Report

    Report Number
    MW1041430
    Event Type
    Other
    Date Received
    December 27, 2006
    Date of Event
    April 17, 2006
    Report Date
    April 19, 2006
    Manufacturer
    BARD ACCESS SYSTEMS INC.
    Product Code
    KOD
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WV, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WAS BEING TRANSFERRED FROM STRETCHER TO BED. FOLEY ATTACHED TO STRETCHER. THE CATH PORT CAUSED A LACERATION TO LEFT ANTERIOR SHIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD FOLEY * KOD BARD ACCESS SYSTEMS INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Other