InjuryOMF
ARROW INTERNATIONAL
Received Mar 18, 2010 · Event occurred Mar 17, 2010
Report MW5015225 · MDR key 1638198
Device
Generic name
Pressure Injectable Picc Kit With Blue Flex Tip Catheter And Placement Wire
Manufacturer
Picc Kit 5 FrenchModel number
CDC-05052-HPKIACatalog number
CDC-05052-HPKIA
Lot number
RF0018012
Product problems
- Difficult to Remove
- Unraveled Material
- Physical Resistance
Patient
84 YR
- No Code Available
Narrative
Description of Event or Problem
PLACEMENT OF PICC LINE BY USUAL METHOD. PLACEMENT WAS CONFIRMED BY X-RAY. WHEN PULLING THE WIRE OUT, RESISTANCE WAS NOTED. THE WIRE COULD NOT BE REMOVED. THE PICC LINE WAS DISCONTINUED DUE TO THIS PROBLEM. THE COVERING OF THE WIRE WAS NOTED TO BE UNRAVELING WHEN THE LINE WAS PULLED. THE OFFENDING WIRE HAS BEEN SAVED AND IS AVAILABLE FOR EXAMINATION. THE PATIENT WAS RESCHEDULED FOR PICC LINE PLACEMENT. THIS WILL EXTEND HER HOSPITAL STAY.