Patient was undergoing an insertion of a peripheral vascular access device using ultrasound.Accucath was inserted and wire advanced without difficulty in right cephalic vein with good blood return noted.During retraction of wire the wire got "hung up" and the practitioner attempted to pull back on the catheter.The needle tip caught the end of the catheter resulting ina shearing off of tip of catheter.On (b)(6) 2018, the iv catheter tip was surgically removed and patient tolerated procedure without complications noted.
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