inforMED
MalfunctionFOS

3.5FR URETHANE UMB CATH

Received Sep 15, 2021 · Event occurred Aug 1, 2021

Report 3009211636-2021-00765 · MDR key 12474739

Device

Generic name

Catheter, Umbilical Artery

Model number

8888160333

Catalog number

8888160333

Lot number

2007100042

Product problems

  • Break
  • Break

Patient

3 DA

  • Hemorrhage/Blood Loss/Bleeding
  • Hemorrhage/Blood Loss/Bleeding

Narrative

Additional Manufacturer Narrative

THE COMPLAINANT INDICATED THAT THE DEVICE WILL NOT BE RETURNED FOR EVALUATION; THEREFORE, A FAILURE ANALYSIS IS NOT AVAILABLE, AND WE ARE NOT ABLE TO DETERMINE THE RELATIONSHIP BETWEEN THIS DEVICE AND THE CAUSE FOR THIS EVENT.  AS PART OF OUR MANUFACTURING PROCESS, ALL DEVICE HISTORY RECORDS ARE REVIEWED AND APPROVED BY QUALITY, PRIOR TO RELEASE OF PRODUCT.  IF ADDITIONAL INFORMATION OR THE SAMPLE IS RECEIVED, THE INVESTIGATION WILL BE REOPENED AND RESPONDED TO ACCORDINGLY.

Description of Event or Problem

THE CUSTOMER STATED THAT DURING THE REMOVAL OF THE UVC, THE UVC BROKE 1.5CM ABOVE THE INSERTION SITE. THE CATHETER LINE WAS HELD IN PLACE UNTIL THE PROVIDER ARRIVED. THE ENTIRE REMAINING LENGTH WAS REMOVED WITH A HEMOSTAT. BLOOD LOSS WAS MINIMAL.