BLUE FLEXTIP MULTI-LUMEN CATHETER AK-14703

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-07-30 for BLUE FLEXTIP MULTI-LUMEN CATHETER AK-14703 manufactured by Arrow International Inc..

Event Text Entries

[951] On 11/21/91 a physician attempted to change the patient's left subclavian triple lumen catheter to a swan ganz catheter by threading a guidewire through the existing subclavian line, removing the subclavian line and threading the swan ganzcatheter over the guidewire. In attempting this procedure, the physician inserted a guidewire into the distal port of the catheter. The physician met resistance while threading the guidewire, therefore, he immediately stopped the procedure, removed the guidewire, and removed the multi-lumen catheter and discarded it. On 12/6/91 thepatient had a chest x-ray performed which revealed a foreign body int he patient's left subclavian vein. The patient was taken to the special procedure area of the radiology department where, under flouroscopic guidance, the foreign body was removed and determined to be a piece of the triple lumen catheter. Visual inspection of the portion of the catheter removed from the patient failed to reveal the cause of the incident. Device labeled for single use. Patient medical status prior to event: critical condition. There was not multiple patient involvement. Invalid data - on device service/maintenance. No data - regarding date last serviced. Service provided by: invalid data. Invalid data - service records availability. No imminent hazard to public health claimed. Device used as labeled/intended. Device was not evaluated after the event. Method of evaluation: no data. Results of evaluation: no data. Conclusion: no data. Certainty of device as cause of or contributor to event: invalid data. Corrective actions: none or unknown. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number4018
MDR Report Key4018
Date Received1992-07-30
Date of Report1991-12-20
Date of Event1991-11-21
Date Facility Aware1991-12-06
Report Date1991-12-20
Date Reported to FDA1991-12-20
Date Reported to Mfgr1991-12-20
Date Added to Maude1993-05-12
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBLUE FLEXTIP MULTI-LUMEN CATHETER
Generic NameMULTI-LUMEN CENTRAL VENOUS CATHETER
Product CodeGBP
Date Received1992-07-30
Model NumberAK-14703
Catalog NumberAK-14703
Lot NumberUNKNOWN
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Implant FlagN
Device Sequence No1
Device Event Key3751
ManufacturerARROW INTERNATIONAL INC.


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1992-07-30

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