| Catalog Number |
1194108D4 |
| Medical Device Problem Code |
Fluid/Blood Leak (1250)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
01/08/2026
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Type of Reportable Event
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Malfunction
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Event or Problem Description
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It was reported, picc line was placed (b)(6) 2025 for lta and had been in for 18 days.Patient came in for assessment of the picc line, dressing had been changed and the dressing was dry noted that there was around 4cm external and on insertion there was 0 outside the skin.I flushed the picc and fluid came out and saturated the dressing.Picc line was taken down and noted a split in the catheter.Picc was removed and a midline was placed in order for the abx treatment to be completed which was to be (b)(6) 2026.
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Additional Manufacturer Narrative
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H11: section a through f - the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.The manufacturer has received the sample and will be evaluated.A supplemental will be submitted with evaluation results.
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Additional Manufacturer Narrative
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H11: section a through f: the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.The complaint of a catheter split was confirmed.The product returned for evaluation was one 4 fr single lumen powerpicc solo catheter.The investigation findings are consistent with damage accumulated through flexural fatigue.Flexural fatigue may occur due to cyclic kinking of the catheter tube in which physiological, placement, usage, and mechanical factors may gradually form a crack(s) in the catheter.The returned product sample was evaluated, and a split was observed between the 5 cm and 6 cm depth markers.The catheter split contained physical features associated with material fatigue, and the characteristics observed which supported this type of failure included: damage which was circumferentially aligned.Fracture edges which were rounded and polished due to repeated material wear.'c' shaped impressions leading into the fracture site which are consistent with material buckling due to movement which caused the fracture edges to be pressed together.Repetitive kinking of the catheter appears to have contributed to the observed leak; however, the specific circumstances surrounding how kinking developed into a fracture within the catheter tubing were ultimately unknown.This complaint will be recorded for future trending and monitoring purposes.
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Search Alerts/Recalls
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