MalfunctionDQO
POWER PICC IV LINE
Received Mar 22, 2005 · Event occurred Mar 2, 2005
Report 589717 · MDR key 589717
Device
Generic name
Picc Iv Line
Manufacturer
Bard Access SystemsModel number
6 FRENCH DLCatalog number
*
Lot number
*
Product problems
- Complete Blockage
- Flushing Problem
- Replace
- Obstruction of Flow
Patient
72 YR
- Surgical procedure, additional
Narrative
Description of Event or Problem
A PICC LINE BECAME CLOTTED AND UNABLE TO USE OR DRAW BLOOD. IT WAS SLUGGISH TO FLUSH AND THE RED PORT WAS TOTALLY OCCLUDED. IT WAS DISCONTINUED FOR USE AND A PERIPHERAL IV WAS STARTED.