As the reported defective device was not returned, angiodynamics is unable to perform a device evaluation.The customer's reported complaint description cannot be confirmed as a sample was not returned and an device evluation could not be performed.Without receiving product for evaluation, we are unable to definitively determine a root cause for this incident.A device history review of the packaging and component lots revealed no quality related issues or manufacturing deficiencies at the time of manufacture.Patient anatomy, drugs used during treatment and picc placement are potential root causes of this failure.Labeling review: the directions for use (dfu) item number 16600226-01 that is provided in the reported kit contains the following directions, precautions and warnings: · if catheter and accessories show any sign of damage (crimped, crushed, cut, etc.), do not use · avoid sharp or acute angles during insertion which may compromise catheter functionality.· do not fully insert catheter up to suture wing.· do not use the catheter with chemicals that are incompatible with any of its accessories, as catheter damage may occur.· do not place the catheter into the right atrium or the right ventricle of the heart.· do not suture through any part of the catheter.If using sutures to secure catheter use the suture wings and make sure they do not occlude, puncture, or cut the catheter.· following institutional policy, secure catheter externally to prevent catheter movement, migration, damage, kinking or occlusion.· if resistance is met while attempting to flush catheter, follow institutional protocol for occluded catheters.· patients must be educated regarding the care and maintenance of their picc.The healthcare provider is responsible for this patient instruction.Management of lumen occlusion the lumens of piccs may infrequently become obstructed.Lumen obstruction is usually evident by failure to aspirate or infuse through the lumen or inadequate flow and/or high resistance pressures during aspiration and/or infusion.The causes may include but not limited to catheter tip malposition, catheter kink, or clot.One of the following may resolve the obstruction: · verify there is no kinked tubing in the catheter section external to the body.A review of the angiodynamics complaint system noted no trends for this complaint type and product family.This type of complaint will continue to be monitored for trends.Complaint # (b)(6).
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