InjuryOII
PERCUST ARTHROGRAM TRAY
Received Mar 8, 2017 · Event occurred Feb 28, 2017
Report MW5068415 · MDR key 6399195
Device
Product problems
- Adverse Event Without Identified Device or Use Problem
Patient
52 YR
- Sepsis
- Sepsis
Narrative
Description of Event or Problem
PT UNDERWENT MR ARTHROGRAM ON (B)(6) 2017 WITH RIGHT HIP INJECTED WITH OMNIPAQUE 300 ((B)(4)). GE HEALTHCARE (B)(4) PLUS NAROPIN 0.5% (B)(4) APP FRESENIUS (B)(4); PLUS, THIRD AGENT MAGNEVIST NDC (B)(4) BAYER LOT # 53540D AND UTILIZING THE PERCUST ARTHROGRAM TRAY (B)(4) EXP JUNE 2019 AND HAS BEEN ADMITTED TO (B)(4) MEDICAL CENTER WITH A SEPTIC HIP ON (B)(6) 2017. DOSE OR AMOUNT: 10 ML, FREQUENCY: ONCE, ROUTE: INTRA-ARTICULAR, 5 ML, ONCE, INTRA-ARTICULAR.