inforMED
MalfunctionFOS

3.5FR DUAL-LUMEN UVC CATH

Received Sep 8, 2021

Report 3009211636-2021-00762 · MDR key 12438451

Device

Generic name

Catheter, Umbilical Artery

Manufacturer

Covidien

Model number

8888160531

Catalog number

8888160531

Lot number

2011900076

Product problems

  • Material Puncture/Hole
  • Material Puncture/Hole

Patient

Not reported

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE INCIDENT SAMPLE HAS BEEN REQUESTED BUT TO DATE HAS NOT BEEN RECEIVED FOR EVALUATION. IF THE SAMPLE IS RECEIVED, OR IF ADDITIONAL INFORMATION PERTINENT TO THE INCIDENT IS OBTAINED A FOLLOW-UP REPORT WILL BE SUBMITTED. AS PART OF OUR MANUFACTURING PROCESS, ALL DEVICE HISTORY RECORDS ARE REVIEWED AND APPROVED BY QUALITY, PRIOR TO RELEASE OF PRODUCT.

Description of Event or Problem

THE CUSTOMER REPORTED THERE WAS A HOLE IN THE TUBING OF THE CENTRAL LINE. THERE WAS NO HARM TO THE PATIENT.