inforMED
InjuryOFF

BARD

Received Nov 18, 2015 · Event occurred Oct 9, 2015

Report 5246107 · MDR key 5246107

Device

Generic name

Central Line

Model number

NOT AVAILABLE

Catalog number

NOT AVAILABLE

Lot number

NOT AVAILABLE

Product problems

  • Crack
  • Device Operates Differently Than Expected
  • Material Integrity Problem

Patient

67 YR

  • Therapeutic Response, Decreased
  • Anxiety
  • No Code Available

Narrative

Description of Event or Problem

PT'S TRIPLE LUMEN CATHETER (BLUE LUMEN) BEGAN LEAKING FROM A PIN POINT HOLE WHILE BEING FLUSHED WITH NORMAL SALINE BY THE CLINICAL STAFF MEMBER.