PHARMACIA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-07-29 for PHARMACIA manufactured by Pharmacia-deltec.

Event Text Entries

[5427] Iv therapy nurse found patient's picc line broken at hub. Catheter tubing open to air. No bleeding from catheter. Iv therapy nurse removed catheter from patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number17971
MDR Report Key17971
Date Received1994-07-29
Date of Report1994-06-06
Date of Event1994-04-16
Date Added to Maude1994-11-28
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePHARMACIA
Generic NameDOUBLE LUMEN PICC - L - CATH
Product CodeFGH
Date Received1994-07-29
Returned To Mfg1994-06-06
Device AvailabilityR
Device Age*
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key17884
ManufacturerPHARMACIA-DELTEC
Manufacturer Address1265 GREY FOX ROAD ST. PAUL MN 55112 US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1994-07-29

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.