Device Problems
Break (1069); Entrapment of Device (1212); Device Dislodged or Dislocated (2923)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 06/25/2017 |
Event Type
malfunction
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Event Description
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This patient has a double lumen central venous line (cvl).Dad went to pick him up from the stroller/car and one of the lumens got caught under the wheel and snapped.The red lumen broke off.The rn in the pod clamped the lumen and pedi-surg was called.The lumen broke right above the bifurcation so the repair kits that we have available are not the right device to repair this.We needed a double lumen repair kit and central supply department (csd) was not familiar with how to obtain one.
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Manufacturer Narrative
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For type of device: catheter, urological (antimicrobial) and accessories.
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Event Description
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This patient has a double lumen central venous line (cvl).Dad went to pick him up from the stroller/car and one of the lumens got caught under the wheel and snapped.The red lumen broke off.The rn in the pod clamped the lumen and pedi-surg was called.The lumen broke right above the bifurcation so the repair kits that we have available are not the right device to repair this.We needed a double lumen repair kit and central supply department (csd) was not familiar with how to obtain one.
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Search Alerts/Recalls
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