FDA Adverse Event Other Summary report: N

BD L-CATH PERIPHERALLY INSERTED CENTRAL CATHETER

MDR report key: 872912 · Received June 27, 2007

Report

Report Number
1710034-2007-00060
Event Type
Other
Date Received
June 27, 2007
Date of Event
June 5, 2007
Report Date
June 11, 2007
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS
Product Code
LJS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ONE USED UNIT WAS RECEIVED ON 20 JUNE 2007 AND SENT FOR DECONTAMINATION. UPON DECONTAMINATION OF THE UNIT AND COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. DATE SUBMITTED: JUNE 26, 2007.

Description of Event or Problem · 1

THE CATHETER WAS PLACED IN THE RIGHT SAPHENOUS VEIN. THE CATHETER WAS INDWELLING ABOUT 3 OR 4 DAYS. THERE WERE NO DIFFICULTIES NOTED DURING INSERTION. IN 2007, ABDOMINAL DISTENTION WAS FOUND AND TPN FLUID WAS THE CAUSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BD L-CATH PERIPHERALLY INSERTED CENTRAL CATHETER PERCUTANEOUS CATHETER LJS BECTON DICKINSON INFUSION THERAPY SYSTEMS NA 6214173

Patients

Seq Age Sex Outcome Treatment
1 YR Other TPN