inforMED
MalfunctionOFF

MEDLINE INDUSTRIES, INC.

Received Dec 30, 2024 · Event occurred Dec 2, 2024

Report 21034368 · MDR key 21034368

Device

Generic name

Central Venous Catheter Tray

Model number

DYNDC2002A

Catalog number

DYNDC2002A

Patient

8 YR · Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

BLOOD WAS NOTED TO BE BACKING UP INTO THE CVP LINE FROM THE RIGHT (R) IJ CVL BLUE LUMEN. UNABLE TO FLUSH AND ASPIRATE BACK. FLUID WAS FOUND TO BE INSIDE THE MICROCLAVE CAP. CAP CHANGED PER POLICY, CAP WAS NOT LOOSE OR VISIBLY BROKEN