InjuryGCD
CLAVE CONNECTOR
Received Dec 9, 2016 · Event occurred Dec 1, 2016
Report MW5066643 · MDR key 6169149
Device
Generic name
Clave Connector
Manufacturer
HospiraProduct problems
- Break
- Detachment Of Device Component
Patient
24 YR
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
PATIENT REPORTED THAT THE WHITE PART OF A CLAVE CONNECTOR BROKE OFF IN HIS CENTRAL IV LINE. HE NEEDED TO HAVE A PICC LINE PLACED UNTIL HE CAN HAVE ANOTHER CENTRAL LINE PLACED. HE DID NOT SAVE THE CONNECTOR AND DOES NOT KNOW THE LOT NUMBER AND HAD NO OTHER INFORMATION. HE STATES THE MD IS AWARE. NO OTHER ADVERSE EVENTS REPORTED. REASON FOR USE: PAH.