inforMED
MalfunctionPEZ

KIT: CENTRAL LINE DRES 20/CS

Received Jan 8, 2025 · Event occurred Dec 20, 2024

Report 21101783 · MDR key 21101783

Device

Generic name

Central Venous Catheter Dressing Change Kit

Model number

68759

Catalog number

68759

Lot number

322493

Patient

63 YR · Female

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

Narrative

Description of Event or Problem

THIS IS A PORT ACCESS KIT ISSUE. AFTER ACCESSING PATIENT'S PORT, I PEELED THE BACKING OFF THE STERILE DRESSING AND THERE WAS VERY ODD-LOOKING WHITE MATTER ON THE SIDE OF THE DRESSING THAT WOULD GO OVER THE PORT AND ONTO THE PATIENT'S SKIN. I OPENED A NEW PORT KIT AND OBTAINED A NEW DRESSING FOR THIS PATIENT. HOWEVER, THE OTHER ITEMS FROM THIS KIT WERE USED ON THIS PATIENT, BUT ALL LOOKED AS THEY SHOULD EXCEPT FOR THIS DRESSING. NO HARM TO PATIENT.