CUROS
Received Jan 3, 2020 · Event occurred Nov 27, 2019
Report 9543678 · MDR key 9543678
Device
Product problems
- Break
- Entrapment of Device
Patient
26280 DA
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
PATIENT WITH PICC LINE HAD GREEN, DISINFECTING END CAP OVER PICC LINE NEEDLELESS CONNECTOR, PER STANDARD. WHEN RN ATTEMPTED TO REMOVED/UNSCREW THE GREEN, DISINFECTING END CAP, IT BROKE INTO TWO PIECES AND PART OF THE GREEN, DISINFECTING END CAP WAS STUCK/REMAINED ON THE PICC LINE NEEDLELESS CONNECTOR. RN WAS UNABLE TO GET THE PIECE OF THE GREEN, DISINFECTING END CAP OFF AND THE PICC LINE NEEDLELESS CONNECTOR HAD TO BE CHANGED BY THE VASCULAR ACCESS TEAM RN.
Description of Event or Problem
PATIENT WITH PICC LINE HAD GREEN, DISINFECTING END CAP OVER PICC LINE NEEDLELESS CONNECTOR, PER STANDARD. WHEN RN ATTEMPTED TO REMOVED/UNSCREW THE GREEN, DISINFECTING END CAP, IT BROKE INTO TWO PIECES AND PART OF THE GREEN, DISINFECTING END CAP WAS STUCK/REMAINED ON THE PICC LINE NEEDLELESS CONNECTOR. RN WAS UNABLE TO GET THE PIECE OF THE GREEN, DISINFECTING END CAP OFF AND THE PICC LINE NEEDLELESS CONNECTOR HAD TO BE CHANGED BY THE VASCULAR ACCESS TEAM RN.