PERMACATH 36 CM INTRAVENOUS DIALYSIS CATHETER 17748-001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1992-05-29 for PERMACATH 36 CM INTRAVENOUS DIALYSIS CATHETER 17748-001 manufactured by Quinton.

Event Text Entries

[837] During the insertion of a right subclavian perma-cath dialysis catheter, a j wire (guidewire) was inserted into the superior vena cava. The dilator & sheath were passed over the j wire with some difficulties encountered, requiring removal of the j wire and reinsertion of the needle over the cutoff portion of the j wire. A new j wire was inserted & reapplication of dilator & sheath was acheived. The insertion of the perma-cath catheter was completed but upon removal of the j-wire significant resistance was encountered. X-ray revealed good position of the perma-cath catheter but a portion of the j wire was lodged in the superior vena cava and extended into the jugular vein. Patient was transferred to ohsu/interventional radiology same day for successful retrieval of j wire in total. Returned to agh same daydevice labeled for single use. Patient medical status prior to event: fair 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 evaluated after the event. Method of evaluation: actual device involved in incident was evaluated, other, other, invalid data. Results of evaluation: unanticipated short term complication of procedure. Conclusion: there was no device failure. Certainty of device as cause of or contributor to event: no. Corrective actions: device discarded, other. The device was destroyed/disposed of.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number660
MDR Report Key660
Date Received1992-05-29
Date of Report1992-05-13
Date of Event1992-05-11
Date Facility Aware1992-05-11
Report Date1992-05-13
Date Reported to Mfgr1992-05-13
Date Added to Maude1992-06-10
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 NamePERMACATH 36 CM INTRAVENOUS DIALYSIS CATHETER
Generic NameINTRAVENOUS DIALYSIS CATHETER
Product CodeFKO
Date Received1992-05-29
Model Number17748-001
Catalog Number17748-001
Lot Number409287
ID NumberN/A
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityN
Device Age01-MAY-92
Implant FlagY
Device Sequence No1
Device Event Key647
ManufacturerQUINTON


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1992-05-29

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