BEUDAMED
    FDA Adverse Event Death Summary report: N

    V-CATH

    MDR report key: 91033 · Received May 14, 1997

    Report

    Report Number
    2925153-1997-00007
    Event Type
    Death
    Date Received
    May 14, 1997
    Report Date
    May 14, 1997
    Manufacturer
    HDC CORP.
    Product Code
    DQO
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ACCORDING TO NURSE, "CATHETER WAS PLACED ON THE SVC. THREE DAYS AFTER INSERTION RIGHT UPPER EXTREMITY MOTTLED CYANOTIC. TREATED PATIENT WITH CONTINOUS UROKINASE SIX TIME. DISCONTINUE LINE. PATIENT DIED, AND AUTOPSY REVEALED SVC AND RIGHT SUBCLAVIAN THROMBOSIS".

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 V-CATH DUAL DQO HDC CORP. 394-60 1077 A

    Patients

    Seq Age Sex Outcome Treatment
    1 * Death