inforMED
MalfunctionKOC

ARTERIAL LINE KIT/1 18 GA

Received Jul 2, 2020 · Event occurred Jun 16, 2020

Report 1625425-2020-00385 · MDR key 10226560

Device

Generic name

Stopcock

Model number

498104

Catalog number

498104

Lot number

UNKNOWN

Product problems

  • Leak/Splash

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

THE SAMPLE IS INDICATED AS UNAVAILABLE FOR EVALUATION. WITHOUT SUCH EVIDENCE, THE COMPLAINT CANNOT BE CONFIRMED AND THE ROOT CAUSE CANNOT BE DETERMINED. IF ADDITIONAL INFORMATION IS RECEIVED IN THE FUTURE, A FOLLOW-UP REPORT WILL BE PROVIDED.

Description of Event or Problem

PROPOFOL INFUSION WAS LEAKING THOUGH THE STOPCOCK WITHOUT ANY OBVIOUS CRACK. PATIENT LIKELY DID NOT RECEIVE PROPOFOL INFUSION BUT OTHER IV INFUSIONS. STOPCOCK HAD TO BE CHANGED.

Additional Manufacturer Narrative

H3 OTHER TEXT : PLACEHOLDER.

Description of Event or Problem

FOLLOW UP.

Remedial action

  • Other