BARD ACCESS SYSTEMS, INC. POWERPORT M.R.I. IMPLANTABLE PORT; PORT & CATHETER, IMPLANTED, SUBCUTANEOUS, INTRAVASCULAR
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Model Number 1808000 |
Device Problems
Migration or Expulsion of Device (1395); Detachment of Device or Device Component (2907); Appropriate Term/Code Not Available (3191)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 12/21/2020 |
Event Type
malfunction
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Event Description
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The patient received chemotherapy treatments thru this port.On day of treatment, infusion nurse accessed port and upon accessing "felt different and blood upon aspiration was very dark." patient did not receive chemotherapy that day.Went to the operating room for a port exploration.Upon imaging at the start of case before any manipulation, per the surgeon - observed a piece of port in the right ventricle.Patient was then woken up from anesthesia and transferred to interventional radiology.In the interventional radiology area, the fragmented piece was removed and sequestered in pathology.One week later, the patient returned to the operating room - had the complete port reported in this event report removed.A new port then was placed.Port exchange was complete.Port secured in pathology.Patient did not tolerate harm in any of the above.
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