Summary of Medical Device Adverse Event Reports Describing Adverse Events With Umbilical Artery Catheters And Related Article
MedSun: Newsletter #27, August 2008

By Elizabeth Eydelman, Patient Safety Staff, 2008

Since January 1st 2007, FDA's Center for Devices and Radiological Health (CDRH) has received 36 medical device adverse event reports involving umbilical artery catheters associated with three manufacturers: Covidien (25), Utah Medical Products, Inc. (8), and Vygon (3). Four of the 36 reports were submitted by MedSun reporters. The remainder of the reports were submitted by manufacturers (27), voluntary reporters (6), and one report was submitted by a distributor.

The reported device problems are:

•Device Breakage/ Defective Device (13)
•Device Leakage (15)
•Evisceration/Extravasation or clot formation (8)

There are no reports involving a patient death with umbilical artery catheters during this time period. There are 22 reports that list malfunction as the type of adverse event, 5 list event type as injury, 4 list event type as “other”, and five reports do not list the type of event. The most frequently reported patient problems are:

•Need For Removal of Foreign Body (11)
•Need For Reinsertion of Device (18)
•Need For Drainage of Mass Accumulations in Liver (7)

All of the reports feature neonatal patients in the NICU in each respective hospital.

These reports contribute to FDA’s post-market experience and understanding of problems associated with the use of these devices. The reported events are consistent with umbilical artery catheter problems reported in the literature. Factors that influence the risk of complications provided in a Journal of Infusion Nursing article entitled, Umbilical Catheters, Placement, and Complication Management (29(6), November/December 2006, p346-352, include:

•The procedure for insertion
•The location of the catheter
•The size and composition of the catheter
•The care of the catheter
•The number of manipulations and
•The dwell time of the catheter.


Umbilical Catheter Adverse Event Reports Received Since January 1st, 2007
Device Device Identifiers Event Description
Utah Medical Products, Inc./Umbilical Artery Catheter Device Identifiers Not Provided/Unknown DURING AN ATTEMPT TO REMOVE THE UMBILICAL VENOUS CATHETER (UVC), THE PRACTITIONER WAS UNABLE TO PULL OUT THE LINE. THE UVC BROKE LEAVING 9CM OF LINE IN THE UMBILICAL VEIN.
Covidien/ Umbilical Artery Catheter Lot: 153466IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE IN 2006, THAT A CUSTOMER HAD A PROBLEM WITH A DUAL UVC CATHETER. THE CUSTOMER REPORTS "LEAK ABOVE CONNECTION OF DUAL LUMEN. UVC REMOVED AND REINSERTED."
Covidien/Umbilical Artery Catheter Model: 8888160341IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE THAT A CUSTOMER HAD A PROBLEM WITH THE UMB CATHETER. THE CUSTOMER REPORTS LEAKAGE OF CATHETERS DISTAL TO HUB. INFUSION. REQUIRED RE-INSERTION OF UVC LINE FOR 1 NEONATE. NO ILL-EFFECTS TO PATIENT REPORTED. PATIENT STATUS REPORTED AS RECOVERED. THE DEVICE IS BEING RETURNED FOR EXAMINATION.
Covidien/ Umbilical Artery Catheter Model: 8888160333IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE THAT A CUSTOMER HAD A PROBLEM WITH THE UMB CATHETER. THE CUSTOMER REPORTS LEAKAGE OF CATHETERS DISTAL TO HUB. INFUSION. REQUIRED PICC FOR 1 NEONATE. NO ILL-EFFECTS TO PATIENT REPORTED. PATIENT STATUS REPORTED AS RECOVERED. THE DEVICE IS BEING RETURNED FOR EXAMINATION.
Covidien/Umbilical Artery Catheter Model: 8888160341IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE ON 03/13/07 THAT A CUSTOMER HAD A PROBLEM WITH THE UMB CATHETER. LEAKAGE OF CATHETER DISTAL TO HUB. ATTEMPTED REINSERTION OF UVC LINE UNSUCCESSFUL. NEONATE THEN WENT FOR FLUORO GUIDED PICC. CUSTOMER HAS NOT CHANGED PROTOCOLS IN 5 YEARS, NO CLAMPS USED. CATHETER WAS INITIALLY INSERTED AT A DIFFERENT HOSPITAL (MOUNT SINAI), DITAILS AS TO LOT NUMBER AND INSERTION DATE REQUESTED BY TYCO PRODUCT SPECIALIST BUT NOT PROVIDED TO DATE. MULTIPLE DIFFERENT RNS PROVIDED CARE TO THE NEONATE. THE 1- 3 ML SYRINGES POTENTIALLY USED FOR PUSH MEDS. IV TUBINGS CHANGED EVERY 48 HOURS. WITH THIS CHANGE, THE CATHETER WAS CLEANED WITH CHLORHEXIDINE. PT STATUS REPORTED AS RECOVERED. THE DEVICE IS BEING RETURNED FOR EXAMINATION.
Covidien/Umbilical Artery Catheter Model: 888160341IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE ON 3/22/07 THAT A CUSTOMER HAD A PROBLEM WITH THE UMB CATHETER. THE CUSTOMER STATES THAT THE CATHETER IS LEAKING DISTAL TO THE HUB. CUSTOMER HAS NOT CHANGED PROTOCOLS, NO CHANGE IN INSERTION, NO CHANGE IN STAFF, NO CHANGE IN CLEANING SOLUTION (CHLORHEXIDINE), MAXIMUM TIME LINE IS 14 DAYS, HOWEVER, IT IS UNK IN THIS CASE. NOTED UPON VISUAL INSPECTION. REINSERTION OF CENTRAL LINE VIA FLUORO. PT CURRENT STATUS REPORTED AS STABLE. THE DEVICE IS BEING RETURNED FOR EXAMINATION.
Covidien/Umbilical Artery Catheter Model: 8888160341IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE ON 3/22/07 THAT A CUSTOMER HAD A PROBLEM WITH THE UMB CATHETER. THE CUSTOMER STATES THAT THE CATHETER IS LEAKING DISTAL TO THE HUB. CUSTOMER HAS NOT CHANGED PROTOCOLS, NO CHANGE IN INSERTION, NO CHANGE IN STAFF, NO CHANGE IN CLEANING SOLUTION (CHLORHEXIDINE), MAXIMUM TIME LINE IS 14 DAYS, HOWEVER, IT IS UNK IN THIS CASE. NOTED UPON VISUAL INSPECTION. REINSERTION OF CENTRAL VENOUS LINE. PT CURRENT STATUS REPORTED AS STABLE. THE DEVICE IS BEING RETURNED FOR EXAMINATION.
Covidien/Umbilical Artery Catheter Lot: 710308 IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE THAT A CUSTOMER HAD A PROBLEM WITH THE UMB CATHETER. THE CUSTOMER REPORTS "THERE WAS BREAKAGE OCCURRING NEAR THE HUB OF THE CATHETER. THEY WERE EXPERIENCING THE BREAKING AFTER INSERTION OF THE CATHETER."
Covidien/ Umbilical Artery Catheter Lot: 710308TD> IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE THAT A CUSTOMER HAD A PROBLEM WITH A UMB CATHETER. THE CUSTOMER REPORTS "THERE WAS BREAKING OCCURRING NEAR THE HUB OF THE CATHETER. THEY WERE EXPERIENCING THE BREAKING AFTER INSERTION OF THE CATHETER."
Covidien/Umbilical Artery Catheter Device Identifiers Not Provided/Unknown IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE IN 2007 THAT A CUSTOMER HAD A PROBLEM WITH THE UVC CATHETER. THE CUSTOMER REPORTS "UVC BEGAN TO BLEED OR LEAK THREE DAYS AFTER INSERTION. INSERTED ON FIVE DAYS EARLIER, LEAK NOTED ON TWO DAYS PRIOR TO ORIGINAL DATE. CUSTOMER BELIEVES THE LEAK OCCURRED IN THE JUNCTION BETWEEN THE STOP COCK HUB AND THE CATH TUBING."
Covidien/Umbilical Artery Catheter Model: 8888160333 IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE THAT A CUSTOMER HAD A PROBLEM WITH A UMB CATHETER. THE CUSTOMER STATES THAT THERE WAS A LEAKAGE DISTAL TO HUB. DETECTED VISUALLY AFTER LESS THAN 72 HOURS IN USE. VENOUS AND ARTERIAL INFUSION. ANOTHER DEVICE WAS USED. NO ILL-EFFECTS TO THE PT. SAMPLES ARE BEING RETURNED FOR EXAMINATION.
Covidien/Umbilical Artery Catheter Model: 8888160556 IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE THAT A CUSTOMER HAD AN ISSUE WITH AN UMB CATHETER. THE CUSTOMER STATES THAT THERE WAS A LEAKAGE DISTAL TO HUB. DETECTED VISUALLY AFTER LESS THAN 72 HOURS IN USE. VENOUS AND ARTERIAL INFUSION. ANOTHER DEVICE WAS USED. NO ILL-EFFECTS TO THE PT. SAMPLES ARE BEING RETURNED FOR EXAMINATION.
Covidien/Umbilical Artery Catheter Model: 8888160341 IT WAS REPORTED TO TYCO/KENDALL HEALTHCARE THAT A CUSTOMER HAD A PROBLEM WITH A UMB CATHETER. THE CUSTOMER STATES, THAT THERE WAS LEAKAGE DISTAL TO HUB. DETECTED VISUALLY AFTER LESS THAN 72 HOURS IN USE. VENOUS AND ARTERIAL INFUSION. ANOTHER DEVICE WAS USED. NO ILL-EFFECTS TO THE PATIENT. SAMPLES ARE BEING RETURNED FOR EXAMINATION.
Covidien/Umbilical Artery Catheter Lot: 715909 IT WAS REPORTED TO TYCO HEALTHCARE/KENDALL IN 2007 THAT A CUSTOMER HAD A PROBLEM WITH A UMBILICAL CATHETER.CUSTOMER REPORTED; "WITHIN 24 HOURS OF PLACING THE UVC IT STARTED LEAKING WHERE THE CATHETER JOINS THE HUB. UVC WAS REMOVED AND A PICC WAS PLACED TO MAINTAIN CENTRAL VENOUS ACCESS."
Covidien/Umbilical Artery Catheter Model: 8888160341 IT WAS REPORTED TO TYCO HEALTHCARE/KENDALL IN 2007 THAT A CUSTOMER HAD A PROBLEM WITH AN UMBILICAL VESSEL CATHETER. THE CUSTOMER REPORTS THAT THE UVC WAS INSERTED ON EIGHT DAYS EARLIER AT 19:00 HRS IN THE NICU. THE CUSTOMER REPORTS THAT THE LINE WAS IN GOOD POSITION IN THE UMBILICAL VEIN. TPN, LIPIDS, AND MAINTENANCE HEPARIN SOLUTION (DEXTROSE AND HEPARIN) WERE INFUSED THROUGH THE LINE FOR SIX DAYS. ON THE SIXTH DAY, THE LINE DEVELOPED A LEAK RESULTING IN THE REMOVAL OF THE UVC AND UNSUCCESSFUL ATTEMPTS TO PLACE A PICC LINE. A PERIPHERAL IV WAS INSERTED. NO CONSEQUENCE TO THE PT WAS REPORTED.
Covidien/Umbilical Artery Catheter Model: 9999160341 IT WAS REPORTED TO TYCO HEALTHCARE/KENDALL IN 2007 THAT A CUSTOMER HAD A PROBLEM WITH AN UMBILICAL VESSEL CATHETER. THE CUSTOMER REPORTS THAT THE CATHETER HAD A HOLE IN IT. THE LINE WAS INSERTED ON THE MONTH BEFORE, AND THIS OCCURRED 5 DAYS LATER. FOLLOWING THIS EVENT THE LINE WAS REMOVED AND THE PT HAD A PIV STARTED. THE PT WAS TRANSFERRED BACK TO A LEVEL 2 CENTER A FEW DAYS LATER.
Covidien/Umbilical Artery Catheter Catalog: 8888160341 IT WAS REPORTED ON DEC 11 2007 TO TYCO HEALTHCARE/KENDALL THAT A CUSTOMER HAD A PROBLEM WITH AN UMBILICAL VESSEL CATHETER. THE CUSTOMER REPORTS, THAT THE PT (INFANT) WITH THE DEVICE HAD ASCITES. THE DEVICE WAS REMOVED AND LIVER ACCUMULATION NOTED. WHEN SENT FOR ANALYSIS, IT CAME BACK AS TPN-UVC EVISCERATION. THE INFANT IS RECOVERING. THE INFANT HAD A LOW LYING UVC. NO SAMPLE OR LOT NUMBER.
Covidien/Umbilical Artery Catheter Model: 8888160333 IT WAS REPORTED TO TYCO HEALTHCARE/KENDALL ON 12/11/2007 THAT A CUSTOMER HAD A PROBLEM WITH A UMBILICAL VESSEL CATHETER. THE CUSTOMER REPORTS, THAT THE PATIENT (INFANT) HAD LIVER ACCUMULATION NOTED AND ABDOMINAL X-RAY REVEALED THE SAME. THE INFANT HAD A LOW LYING UVC. THE PATIENT IS RECOVERING. NO SAMPLE OR LOT NUMBER.
Covidien/Umbilical Artery Catheter Model: 8888160333 IT WAS REPORTED TO TYCO HEALTHCARE/KENDALL ON 12/11/2007 THAT A CUSTOMER HAD A PROBLEM WITH A UMBILICAL VESSEL CATHETER. THE CUSTOMER REPORTS, THAT THE PATIENT (INFANT) HAD LIVER ACCUMULATION NOTED AND ABDOMINAL X-RAY REVEALED THE SAME. THE INFANT HAD A LOW LYING UVC. THE PATIENT IS RECOVERING. NO SAMPLE OR LOT NUMBER.
Covidien/Umbilical Artery Catheter Device Identifiers Not Provided/Unknown IT WAS REPORTED TO TYCO HEALTH CARE/KENDALL ON 01/30/08 THAT A CUSTOMER HAD A PROBLEM WITH A UMBILICAL VESSEL CATHETER. CUSTOMER REPORTED THAT AN INFANT HAD PLACEMENT OF UMBILICAL VESSEL CATHETER IN 2008, THAT WAS VERIFIED VIA X-RAY FOLLOWING INSERTION. POSITION HIGH AT T7 ON PLACEMENT, THEN PULLED BACK TO T12-L1. PT SUFFERED FROM COMPLEX CYSTIC MASS/MASSES IN LIVER CONFIRMED BY ULTRA SOUND SCAN. UMBILICAL VESSEL CATHETER REMOVED AND LIVER ACCUMULATION NOTED. CLINICAL DIAGNOSIS OF TPN INFUSION INTO LIVER. INFANT IMPROVED QUICKLY FOLLOWING REMOVAL OF UMBILICAL VESSEL CATHETER. PT TREATED WITHANTIBIOTIC INFUSION VIA PICC LINE FOR 7-14 DAYS.
Utah Medical Products, Inc. /Umbilical Artery Catheter Catalog: 4173505AN UMBILICAL CATHETER, REPORTED BY THE CUSTOMER AS POSSIBLY NICKED, BROKE WHILE THE CATHETER WAS BEING REMOVED. THE CATHETER WAS REMOVED WITHOUT ANY SURGICAL INTERVENTION AND WITHOUT ANY RESIDUAL PATIENT EFFECTS. HOWEVER, DURING THE REMOVAL OF THE CATHETER THE BABY LOST ABOUT 6-8ML OF BLOOD. AFTER REMOVAL OF THE CATHETER, THE INFANT HAD AN ARTERIALSPASM, WHICH WAS RESOLVED WITH WARM COMPRESSION.
Utah Medical Products, Inc. /Umbilical Artery Catheter Catalog: 4175005 DURING AN ATTEMPT TO REMOVE THE UMBILICAL VENOUS CATHETER (UVC), THE PRACTITIONER WAS UNABLE TO PULL OUT THE LINE. THE UVC BROKE LEAVING 9CM OF LINE IN THE UMBILICAL VEIN.
Vygon Corp. /Umbilical Artery Catheter Lot: 27.04.06EC"A DOUBLE LUMEN UMBILICAL CATHETER DEVELOPED A LEAK AT THE DISTAL LUMEN LUER LOCK CONNECTION. A CLOSE EXAMINATION REVEALED THAT THE CONNECTOR HAD A CRACK IN IT THAT ALLOWED TPN AND LIPIDS TO LEAK OUT. THIS HAS HAPPENED NUMEROUS TIMES OVER THE LAST TWELVE MONTHS AND THE MFR HAS NOT BEEN ABLE TO RESOLVE THE ISSUE. DEVICE USAGE PROBLEM: DEVICE FAILED (E.G. BROKE, COULDN'T GET IT TO WORK OR STOPPED WORKING)". THE RETURNED CATHETER HUBS WERE EXAMINED VISUALLY AND MICROSCOPICALLY. THE VISUAL EXAM SHOWED THAT THE HUBS WERE CRACKED VERTICALLY. THE MICROSCOPIC EXAM SHOWED EVIDENCE OF TOOL MARKS ON THE HUBS. THE CRACKING WAS CONSISTENT WITH MECHANICAL STRESS. THE HUB OF THE CATHETER IS BELIEVED TO HAVE BEEN LIGHTENED TOO TIGHTLY, WITH OR WITHOUT THE USE OF TOOLS, WHICH MAY RESULT IN CRACKING OF THE HUB. VYGON RECOMMENDS THAT CARE BE TAKEN IN MAKING ATTACHMENTS, SO THAT THE CONNECTIONS ARE NOT OVER TIGHTENED, AND TOOLS, SUCH AS FORCEPS SHOULD NEVER BE USED TO TIGHTEN THE HUBS, AS THIS MAY RESULT IN CRACKING.
Vygon Corp./Umbilical Artery Catheter Catalog: 1274.14 A DOUBLE LUMEN UMBILICAL CATHETER DEVELOPED A LEAK AT THE DISTAL LUMEN LUER LOCK CONNECTION. A CLOSE EXAMINATION REVEALED THAT THE CONNECTOR HAD A CRACK IN IT THAT ALLOWED TPN AND LIPIDS TO LEAK OUT. THIS HAS HAPPENED NUMEROUS TIMES OVER THE LAST TWELVE MONTHS AND THE MANUFACTURER HAS NOT BEEN ABLE TO RESOLVE THE ISSUE.
Vygon Corp./Umbilical Artery Catheter Catalog: 1270.03 AN UMBILICAL CATHETER DEVELOPED A LEAK AT THE LUER LOCK CONNECTION. A CLOSE EXAMINATION REVEALED THAT THE CONNECTOR HAD A CRACK IN IT THAT ALLOWED TPN, LIPIDS, FENTANYL AS WELL AS BLOOD TO LEAK OUT. FLUID LOSS AS WELL AS INADEQUATE MEDICATION CONTRIBUTED TO A SITUATION WHERE THE NEONATE WAS TEMPORARILY VERY UNSTABLE.
Utah Medical Products, Inc./ Umbilical Artery Catheter Model: CE 0344 THE INFANT WAS DISTRESSED AND INCONSOLABLE. THE INCREASED MOVEMENT AT THE INFANT-LINE CAUSED IT TO BREAK AT THE HUB SITE FROM THE CATHETER.
Covidien/Umbilical Artery Catheter Model: 8888160333 IT WAS REPORTED TO TYCO HEALTH CARE/KENDALL IN 2008 THAT A CUSTOMER HAD A PROBLEM WITH A UMBILICAL VESSEL CATHETER. THE CUSTOMER STATED THAT THERE WAS A FORMATION OF A CLOT AT THE CATHETER TIP. THERE WAS EXTRAVASATION OF PARENTERAL NUTRITION IN LIVER TISSUE SURROUNDING THE VESSEL - PSEUDOCYST CONFIRMED BY ULTRASOUND, CARDIOTOCOGRAPHY. PT INFO: FEMALE, THROMBUS IN INFERIOR VENA CAVA, ULTRASOUND PERFORMED ON DAY 28 (VENTILATED, HYALINE MEMBRANE DISEASE, BRONCHOPULMONARY DYSPLASIA).
Covidien/Umbilical Artery Catheter Lot: 06K514E IT WAS REPORTED TO TYCO HEALTH CARE/KENDALL IN 2008 THAT A CUSTOMER HAD A PROBLEM WITH A UMBILICAL VESSEL CATHETER. THE CUSTOMER STATED THAT THERE WAS A FORMATION OF A CLOT AT THE CATHETER TIP. THERE WAS EXTRAVASATION OF PARENTERAL NUTRITION IN LIVER TISSUE SURROUNDING THE VESSEL - PSEUDOCYST CONFIRMED BY ULTRASOUND, CARDIOTOCOGRAPHY. PT INFO: ULTRASOUND ON DAY 4 (CONFIRMED SEPSIS - S. AUREUS + DISSEMINATED INTRAVASCULAR COAGULATION)
Covidien/Umbilical Artery Catheter/TD> Model: 8888160333 IT WAS REPORTED TO TYCO HEALTH CARE/KENDALL IN 2008 THAT A CUSTOMER HAD A PROBLEM WITH A UMBILICAL VESSEL CATHETER. THE CUSTOMER STATED THAT THERE WAS A FORMATION OF A CLOT AT THE CATHETER TIP. THERE WAS EXTRAVASATION OF PARENTERAL NUTRITION IN LIVER TISSUE SURROUNDING THE VESSEL - PSEUDOCYST CONFIRMED BY ULTRASOUND, CARDIOTOCOGRAPHY. PT INFO: ULTRASOUND ON DAY 4 (CONFIRMED SEPSIS - S. AUREUS + DISSEMINATED INTRAVASCULAR COAGULATION)
Covidien/Umbilical Artery Catheter Model: 8888160333 IT WAS REPORTED TO TYCO HEALTH CARE/KENDALL IN 2008 THAT A CUSTOMER HAD A PROBLEM WITH A UMBILICAL VESSEL CATHETER. THE CUSTOMER STATED THAT THERE WAS A FORMATION OF A CLOT AT THE CATHETER TIP. THERE WAS EXTRAVASATION OF PARENTERAL NUTRITION IN LIVER TISSUE SURROUNDING THE VESSEL - PSEUDOCYST CONFIRMED BY ULTRASOUND, CARDIOTOCOGRAPHY PT INFO: A MALE – US ON DAY 6 (NOT VENTILATED).
Utah Medical Products, Inc./Umbilical Artery Catheter Lot: 1062257UPON REMOVAL OF THE DOUBLE LUMEN UVC, THE CATHETER BROKE, WHILE GENTLY PULLING, AT THE 4CM MARK. CATHETER FELT BRITTLE. THE REMAINDER OF THE CATHETER WAS REMOVED FROM THE INFANT INTACT.
Utah Medical Products, Inc./Umbilical Artery Catheter Lot: 1062257THE PATIENT WAS AGITATED AND KICKING, SWADDLED IN A BLANKET. WHEN PATIENT PLACED BACK IN WARMER AND UNWRAPPED, THE UVC LINE WAS BROKEN AT THE 20CM MARK. THE REMAINDER OF THE LINE WAS REMOVED FROM THE BABY. NO ADVERSE OUTCOME.
Covidien/Umbilical Artery Catheter Lot: 629504 OR 705404WHILE LOOSENING SUTURES WITH TWEEZERS TO REMOVE UMBILICAL ARTERY CATHETER, CATHETER BROKE. INFANT REQUIRED SURGERY TO REMOVE RETAINED PIECE BROKE AT 13CM MARK.
Covidien/ Umbilical Artery Catheter Lot: 705406PLACED CATHETER AND PORT (BLUE) WOULD NOT FLUSH. OPENED ANOTHER ONE WITH SAME LOT NUMBER AND HAD THE SAME PROBLEM. OPENED A THIRD CATHETER WHICH WORKED.
Utah Medical Products, Inc./ Umbilical Catheters Device Identifiers Not Provided/Unknown MD ORDERED TO PULL UAC OUT 1CM. REGISTERED NURSE SLID DOWN SUTURES IN ORDER TO PERFORM PROCEDURE HOLDING PROXIMAL END OF CATHETER. PLACED FINGER AND THUMB AROUND DISTAL CATHETER TO GENTLY PULL BACK CATHETER WHEN CATHETER SNAPPED IN TWO. REGISTERED NURSE ABLE TO HOLD ONTO PROXIMAL END OF CATHETER TO PREVENT CATHETER FROM ENTERING UMBILICAL ARTERY FURTHER. MD PLACED HEMOSTAT ON PROXIMAL END AND RN COMPLETED REMOVAL OF REMAINING CATHETER. TIP WAS INTACT, NO INJURY TO PT.
Utah Medical Products, Inc./Umbilical Artery Catheter Device Identifiers Not Provided/Unknown CATHETER SEPARATED FROM SUTURE AT Y CONNECTION. THE DOUBLE LUMEN UMBILICAL VENOUS LINE BROKE INTO 2 PIECES BEFORE THE Y PORTAL. THE FLUID WAS D12 AND ORAL FEEDING AT THE TIME.



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