BEUDAMED
    FDA Adverse Event Death Summary report: N

    BD BLUNT PLASTIC CANNULA

    MDR report key: 932547 · Received August 15, 2006

    Report

    Report Number
    932547
    Event Type
    Death
    Date Received
    August 15, 2006
    Date of Event
    June 24, 2006
    Report Date
    August 2, 2006
    Manufacturer
    BECTON DICKINSON AND COMPANY
    Product Code
    FPA
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    SC, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PATIENT RECEIVED IV MEDICATION. PATIENT FOUND WITH BLUNT CANNULA LEFT IN IV TUBING PORT 30 MINUTES AFTER MEDICATION RECEIVED. LARGE AMOUNT OF BLOOD FOUND ON FLOOR. PATIENT HAD CARDIAC ARREST AND RESUSCITATION WAS UNSUCCESSFUL. PATIENT EXPIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD BLUNT PLASTIC CANNULA BLUNT CANNULA FPA BECTON DICKINSON AND COMPANY * *

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Death CARPUJECT HOLDER AND STERILE SYRINGE (HOSPIRA)| CONTINU-FLO SOLUTION SET (BAXTER)