UMBILI-CATH
Received Jul 19, 2019 · Event occurred Apr 15, 2019
Report 8806988 · MDR key 8806988
Device
Generic name
Catheter, Umbilical Artery
Manufacturer
Utah Medical Products, Inc.Model number
DUAL-LUMEN SILICONECatalog number
4273505
Lot number
1182062
Product problems
- Break
Patient
1 DA
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
EXTREMELY PREMATURE INFANT DELIVERED AT (B)(6), INTUBATED IN THE DELIVERY ROOM AND ADMITTED TO NICU. A 3.5FR DOUBLE-LUMEN UMBILICAL VENOUS CATHETER (UVC) WAS PLACED. FOLLOWING AN X-RAY TO DETERMINE APPROPRIATE PLACEMENT, THE NEONATAL NURSE PRACTITIONER (NNP) GAVE AN ORDER TO PULL THE UVC BACK 0.5CM. WHEN THE RN GENTLY PULLED BACK ON THE UVC, IT REPORTEDLY SNAPPED IN HALF. THE PORTION REMAINING IN THE INFANT WAS HELD UNTIL THE NNP COULD SUCCESSFULLY REMOVE IT. STAFF REPORTED THE CATHETER BROKE BELOW THE SUTURE LINE. INSERTION DISTANCE - 6. LINE WAS SECURED BY SUTURE. NICU MANAGER REPORTED THE BREAK WAS BELOW THE SUTURE LINE AND DIDN'T APPEAR TO BE CAUSED BY THE SUTURE.