inforMED
MalfunctionLJS

PowerPICC Provena

Received Jul 28, 2026 · Event occurred Jul 15, 2026

Report 50052455 · MDR key 50052455

Device

Generic name

Catheter, Intravascular, Therapeutic, Long-term Greater Than 30 Days

Model number

S1274108D3

Catalog number

S1274108D3

Lot number

RELQ4173

Product problems

  • Material Fragmentation
  • Failure to Advance

Patient

Male

  • Foreign Body In Patient

Narrative

Description of Event or Problem

Uneventful PICC \[Peripherally Inserted Central Catheter]" insertion in which PICC would not go down. Decision to obtain CXR \[chest x-ray]". CXR showed a fragment of the PICC guidewire on left side of chest. Patient immediately taken to CVIR \[cardiovascular interventional radiology]" for retrieval for foreign body and PICC exchange completed. This is believed to be a PICC line equipment malfunction. BD vendor.