FDA Adverse Event Injury Summary report: N

3M CUROS DES-INFECTING ALCOHOL GREEN CAP

MDR report key: 22420260 · Received July 7, 2025

Report

Report Number
MW5172353
Event Type
Injury
Date Received
July 7, 2025
Date of Event
June 25, 2025
Report Date
June 25, 2025
Manufacturer
3M COMPANY
Product Code
QBP
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

I HAD A PICC LINE PLACE ON (B)(6) 2025 FOR CHEMOTHERAPY OF MY BIG CELL B CELL LYMPHOMA, THE PICC LINE HAS TWO PORTS WITH NEEDLESS CONNECTORS COMING OUT FROM THE INNER LOWER RIGHT ARM AND WERE CAPPED WITH THE 3M CUROS 70% IPA CAPS. MY PROVIDERS RELEASED ME HOME WITH CIRCULAR MESH AROUND MY RIGHT UPPER ARM, AND ELBOW COVERING THEM. I WOKE UP AND FOUND ONE OF THE CAPS IN MY BED, AFRAID OF SETTING ON A LINE INFECTION THROUGH HUB CONTAMINATION - (SEE QUOTATION BELLOW) I SWABBED THE HUB WITH 70% ISOPROPYL ALCOHOL FOR ONE MINUTE AND PUT A NEW CAP ON (LOT 11467994) WHICH WAS EVEN MORE DIFFICULT WITH ONE HAND, AND THIS SHOWED ME HOW DIFFICULT THEY ARE TO THREAD IN AND SECURE BY HEALTHCARE WORKERS. THE 3M CUROS CAPS ARE DIFFICULT TO THREAD ON - A DESIGN AND HUMAN FACTORS PROBLEM. NEEDLESS CONNECTORS ARE POORLY DESIGNED AND POSE AN EVER-PRESENT CONTAMINATION PROBLEM. LITERATURE ON THIS PROBLEM THAT ACCORDING TO CDC CAUSES 20,0000 ATTRIBUTABLE DEATH/YEAR IN THE US, WITH A BEDSIDE TESTED PROPOSAL FOR AN ADDITIONAL SAFETY FACTOR: FLEXIBLE PASSIVE IV CONNECTOR SAFEGUARD AGAINST CONTACT AND AIRBORNE CONTAMINATION TO PREVENT CENTRAL-LINE ASSOCIATED BLOODSTREAM INFECTIONS. THE REPORTER'S IDENTITY, INCLUDING THE IDENTITY OF A SELF-REPORTER, MAY BE SHARED WITH THE MANUFACTURER UNLESS REQUESTED OTHERWISE. PLEASE DO NOT!

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
702814 3M CUROS DES-INFECTING ALCOHOL GREEN CAP CAP, DEVICE DISINFECTANT QBP 3M COMPANY 11467994

Patients

Seq Age Sex Outcome Treatment
1 76 YR Male Required Intervention