DUAL-LUMEN UVC CATH
Received Feb 9, 2022 · Event occurred Oct 13, 2021
Report 3009211636-2022-00773 · MDR key 13499861
Device
Generic name
Catheter, Umbilical Artery
Manufacturer
Cardinal HealthModel number
8888160531Catalog number
8888160531
Lot number
2104700165
Product problems
- Fluid/Blood Leak
- Fluid/Blood Leak
Patient
Unknown
- Hypoglycemia
- Hypoglycemia
Narrative
Additional Manufacturer Narrative
AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.
Description of Event or Problem
CUSTOMER REPORTS: A SLOW LEAK OCCURRED WITH THE UMBILICAL VESSEL CATHETER (UVC) OVERNIGHT. THE DOCTOR WAS NOTIFIED WHEN IT WAS FOUND. IN THE MORNING A LOW GLUCOSE LEVEL RESULT AND INCREASED LEAKING WAS NOTICED. PER DOCTOR'S ORDERS, THE UVC WAS PULLED AFTER A PERIPHERAL INTRAVENOUS LINE (PIV) PLACEMENT WAS OBTAINED.
Additional Manufacturer Narrative
UPDATES MADE TO THE FOLLOWING FIELDS PER ADDITIONAL INFORMATION RECEIVED AFTER THE INITIAL REPORT WAS SUBMITTED: D4: MODEL NUMBER D4: CATALOG NUMBER D4: UDI #
Additional Manufacturer Narrative
THE DEVICE HISTORY RECORD (DHR) WAS REVIEWED, AND NO ABNORMAL PROCESS CONDITIONS WERE PRESENT DURING THE MANUFACTURING OF THE PRODUCT THAT COULD HAVE LED TO THE CONDITION DESCRIBED BY THE CUSTOMER. THE DHR REVIEW SHOWED THAT ALL ACCEPTANCE CRITERIA INSPECTIONS PER ESTABLISHED SAMPLING LEVELS WERE WITHIN ACCEPTABLE LIMITS DURING THE PRODUCTION PROCESS. A SAMPLE ANALYSIS WAS NOT POSSIBLE AS THERE WAS NO PHOTOGRAPHS OR SAMPLES PROVIDED FOR EVALUATION. WITHOUT A SAMPLE TO EVALUATE, IT IS NOT POSSIBLE TO CONFIRM THE REPORTED ISSUE, DETERMINE A ROOT CAUSE OR RELATE IT TO A MANUFACTURING PROCESS. ALL ASSOCIATED LOT DOCUMENTATION WAS CAREFULLY REVIEWED; NO ISSUES OR DISCREPANCIES WERE FOUND RELATED TO THE REPORTED COMPLAINT. CURRENT PROCESS CONTROLS ARE EXECUTED IN ACCORDANCE WITH PRODUCT SPECIFICATIONS TO MEET QUALITY ACCEPTANCE CRITERIA. THE MANUFACTURING FACILITY WILL CONTINUE TO MONITOR THE PROCESS, CUSTOMER COMPLAINTS AND FEEDBACK NOTIFICATIONS FOR ANY ADVERSE TRENDS THAT REQUIRE IMMEDIATE ATTENTION. IN THE CASE OF A REPEATED ISSUE AND/OR RECURRENCE, A NEW INVESTIGATION FOR THE SPECIFIC EVENTS WOULD BE CARRIED OUT FOR EACH CASE.