inforMED
MalfunctionDQO

POWER PICC IV LINE

Received Mar 22, 2005 · Event occurred Mar 5, 2005

Report 590912 · MDR key 590912

Device

Generic name

Picc Iv Line

Model number

*

Catalog number

*

Lot number

*

Product problems

  • Coagulation in Device or Device Ingredient

Patient

78 YR

  • Therapy/non-surgical treatment, additional

Narrative

Description of Event or Problem

PICC LINE CLOTTED, RETAVASE WAS USED TO OPEN THE LINE. THE IV LINE WAS SUCCESSFULLY OPEN. FACILITY'S ADVANCED PRACTICE NURSE WILL BE EVALUATING THESE OCCURRENCES.