(b)(4).Additional information received 18-sep-2023 indicates the patient "remains critically ill due to multiple medical conditions both acute and chronic" and that there was no evidence of harm or injury.It was also reported that "pt was transferred from our hospital (community hospital) to tertiary care center for removal of retained guidewire.Ir utilized fluoroscopy and snare to remove guidewire in its entirety." the actual device was not returned; however, the customer provided two photos for analysis.The complaint of guidewire separated during use was able to be confirmed by the photos and customer report.Both photos revealed x-ray images of the patient with a retained foreign body in the vascular system, however, no conclusions about the cause of the damage could be made from the photos alone.A complete visual inspection could not be performed as no sample was returned for analysis.A device history record review was performed based on a potential lot from sales history with one finding.It was determined that the finding is not relevant to the reported complaint issue.The instructions for use (ifu) provided with this kit warns the user, "do not apply excessive force in placing or removing catheter or guidewire.Excessive force can cause component damage or breakage.If damage is suspected or withdrawal cannot be easily accomplished, radiographic visualization should be obtained and further consultation requested.Warning: do not withdraw guidewire against needle bevel to reduce risk of possible severing or damaging of guidewire." without the device to evaluate, the probable cause could not be determined from the available information.Teleflex will continue to monitor and trend for reports of this nature.Corrected data: section d.1.-brand name corrected to arrow multilumen pi cvc kit: 3l 7 fr x 20 cm section d.2.-catalog# corrected to ask-45703-akp1a.
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