inforMED
InjuryGBW

MEDICOMP PORT CT IMPLANT (SILICONE) 9.6 FR

Received Jan 19, 2012 · Event occurred Jan 3, 2012

Report MW5023936 · MDR key 2428361

Device

Generic name

Mediport 9.6f Ms Dignity Ct Port

Manufacturer

Medicomp

Lot number

MBFT860

Product problems

  • Detachment Of Device Component
  • Material Rupture

Patient

48 YR

  • Pain
  • Device Embedded In Tissue or Plaque

Narrative

Description of Event or Problem

ON (B)(6) 2012, (B)(6) YEAR OLD FEMALE RECEIVING CHEMOTHERAPY VIA MEDIPORT. STAFF ATTEMPTED TO FLUSH MEDIPORT BEFORE CHEMO ADMINISTRATION. PT EXPERIENCED PAIN AT SITE AND FLUID SEEN AROUND HUB AT INSERTION SITE. DYE STUDY REVEALED MEDIPORT HAD SEPARATED/RUPTURED INTERNALLY. VASCULAR SURGEON ABLE TO REMOVE TIP OF CATHETER FROM PT'S PULMONARY ARTERY WAS VASCULAR CATHETERIZATION.