FDA Adverse Event Other Summary report: N

BD L-CATH PERIPHERALLY INSERTED CENTRAL CATHETER

MDR report key: 1213713 · Received October 22, 2008

Report

Report Number
1710034-2008-00129
Event Type
Other
Date Received
October 22, 2008
Date of Event
August 20, 2008
Report Date
September 25, 2008
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS
Product Code
LJS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLE WAS RECEIVED IN 2008, AND IS CURRENTLY BEING DECONTAMINATED. UPON DECONTAMINATION AND COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. DATE SUBMITTED: 22 OCTOBER 2008.

Description of Event or Problem · 1

THE CATHETER WAS PLACED IN A PREMATURE INFANT IN 2008. THE NURSE NOTICED A LEAK AND TRIED TO REPAIR THE CATHETER, ADDITIONAL LEAKING NEAR THE INSERTION SITE WAS NOTED. THE NURSE THEN DECIDED TO REMOVE THE CATHETER. DURING THE REMOVAL PROCESS SLIGHT RESISTANCE WAS MET AND A WARM COMPRESS WAS APPLIED TO THE ARM. THE NURSE INDICATED THAT THE CATHETER DISINTEGRATED AND LOOKED LIKE A LIMP NOODLE. X-RAYS WERE TAKEN AND THE CATHETER WAS SURGICALLY REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BD L-CATH PERIPHERALLY INSERTED CENTRAL CATHETER PERCUTANEOUS CATHETER LJS BECTON DICKINSON INFUSION THERAPY SYSTEMS NA 8007280

Patients

Seq Age Sex Outcome Treatment
1 1 MO Other DOPAMINE AT 12 MCG/KG/MIN| FENTANYL AT 2 MCG/KG/HR| TPN D 18% WITH 3% AMINO ACIDS