inforMED
InjuryOMF

PICC

Received Feb 17, 2006

Report 1720496-2006-00063 · MDR key 3126383

Device

Generic name

Implanted Long Term Intravascular

Catalog number

UNK

Lot number

UNK

Product problems

  • Implant, removal of

Patient

30 YR

  • Thrombosis

Narrative

Description of Event or Problem

LEFT SVC THROMBOSIS AROUND TIP OF CATHETER. PT NEEDED THROMBOLYSIS.

Additional Manufacturer Narrative

THE COMPLAINT IS INCONCLUSIVE SINCE THE PRODUCT WAS DISCARDED AND WILL NOT BE RETURNED FOR EVAL. A COMPLAINT HISTORY REVIEW COULD NOT BE COMPLETED SINCE THE LOT NUMBER WAS NOT PROVIDED.