FDA Adverse Event Malfunction Summary report: N

SINGLE LUMEN 1.9FR SILICONE PICC PROCEDURAL KIT

MDR report key: 9413466 · Received December 4, 2019

Report

Report Number
3007697249-2018-11001
Event Type
Malfunction
Date Received
December 4, 2019
Date of Event
October 1, 2019
Report Date
November 26, 2019
Manufacturer
FOOTPRINT MEDICAL INC.
Product Code
LJS
UDI-DI
00858778006041
PMA / PMN Number
K091488
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HISTORY RECORD FOR LOT #191140 WAS REVIEWED. ALL CATHETERS PASSED IN-PROCESS AND FINAL INSPECTION CRITERIA INCLUDING LEAK TESTING. HOSPITAL STAFF CLAIM THAT THEY "DID NOT THINK IT WAS THE CATHETER ITSELF, BUT DAMAGE CAUSED BY MANIPULATION OF THE LINE AND THE PARENT PUTTING STRAIN ON IT INADVERTENTLY". BASED ON THE DHR REVIEW AND THE STATEMENT FROM (B)(6) STAFF, IT IS REASONABLE TO CONCLUDE THAT THIS IS NOT A MANUFACTURER DEFECT.

Description of Event or Problem · 1

DURING ASSESSMENT OF THE PICC, THE DRESSING APPEARED WET UNDERNEATH. MD WAS NOTIFIED AND PLACEMENT WAS VERIFIED. THE DRESSING WAS CHANGED AND THE PICC WAS NOTED TO BE LEAKING FROM THE PICC TUBING WHERE THE TUBING MEETS THE PLASTIC HEART. THE LINE WAS DISCONTINUED UPON DISCOVERY OF LEAK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1209065 SINGLE LUMEN 1.9FR SILICONE PICC PROCEDURAL KIT PICC, PERCUTANEOUS, PERIPHERALLY INSERTED CENTRAL CATHETER LJS FOOTPRINT MEDICAL INC. S1PIC1.9-S 191140 00858778006041

Patients

Seq Age Sex Outcome Treatment
1 1 DA