inforMED
InjuryFOS

UTAH MEDICAL UMBILI-CATH. 3.5FR DUAL LUMEN SILICONE UMBILICAL CATHETER

Received Dec 28, 2021 · Event occurred Dec 21, 2021

Report MW5106336 · MDR key 13111635

Device

Generic name

Catheter, Umbilical Artery

Lot number

121261

Product problems

  • Break

Patient

2 DA · Male

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

UVC LINE SNAPPED WITH MINIMAL TO NO PULLING PRESSURE TO THE LINE. UTAH MEDICAL UMBILI-CATH. 3.5 FR DUAL LUMEN SILICONE UMBILICAL CATHETER REF 4273505, LOT 1212617. FDA SAFETY REPORT ID# (B)(4).