inforMED
MalfunctionFOS

3.5FR DUAL-LUMEN UVC CATH

Received Mar 30, 2022

Report 3009211636-2022-00783 · MDR key 13955333

Device

Generic name

Catheter, Umbilical Artery

Manufacturer

Cardinal Health

Model number

8888160531

Catalog number

8888160531

Lot number

2104700166

Product problems

  • Fluid/Blood Leak
  • Air/Gas in Device
  • Fluid/Blood Leak
  • Air/Gas in Device

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.

Description of Event or Problem

THE CUSTOMER REPORTED THAT THE LINES HAD AIR WHEN ASPIRATING BOTH IN VEINS AND ARTERIES WITH SOLUTION COMING OUT OF ONE SIDE. THERE WAS NO PATIENT HARM.

Additional Manufacturer Narrative

THE DEVICE HISTORY RECORD (DHR) WAS REVIEWED, AND IT REVEALED NO DISCREPANCIES THAT MAY HAVE CONTRIBUTED TO A COMPLAINT OF THIS FAILURE MODE. ALL QUALITY ASSURANCE TESTING PERFORMED DURING MANUFACTURING WAS ACCEPTABLE. THE QUALITY ASSURANCE REVIEW OF THE VISUAL, PHYSICAL, AND DIMENSIONAL EVALUATION RESULTS INDICATED THAT THE PRODUCT MET SPECIFICATION REQUIREMENTS. IN ADDITION, ALL DHRS ARE REVIEWED FOR ACCURACY PRIOR TO PRODUCT RELEASE. THE DEVICE WAS MANUFACTURED ON APRIL 19, 2021. A SAMPLE WAS NOT RECEIVED FOR THE INVESTIGATION. BECAUSE A SAMPLE WAS NOT RETURNED, WE WERE UNABLE TO PERFORM A FOLLOW UP INVESTIGATION TO INCLUDE FUNCTIONAL AND VISUAL EVALUATIONS TO CONFIRM THE REPORTED ISSUE AND DETERMINE THE ROOT CAUSE. IF SAMPLES ARE RECEIVED AT A LATER DATE, THE COMPLAINT WILL BE REOPENED, AND THE INVESTIGATION WILL BE UPDATED ACCORDINGLY. ACCORDING TO THE INVESTIGATION PERFORMED, THE MANUFACTURING PROCESS AND CONTROLS WERE ANALYZED, AND NO MANUFACTURING OR DESIGN ISSUES WERE IDENTIFIED. IT MUST BE NOTED THAT IN-PROCESS CONTROLS SUCH AS PERSONNEL TRAINING, INCOMING QUALITY ACCEPTANCE TESTING FOR RAW MATERIAL, 100% IN PROCESS VISUAL INSPECTION, AND VISUAL ACCEPTANCE SAMPLING ARE IN PLACE TO PREVENT NONCONFORMING PRODUCT FROM LEAVING THE MANUFACTURING OPERATIONS. A CORRECTIVE ACTION IS NOT APPLICABLE AT THIS TIME. FUNCTIONAL TESTING AND VISUAL INSPECTIONS ARE BEING PERFORMED ACCORDING TO OUR CURRENT QUALITY STANDARDS AND INSPECTION PROCEDURES. THIS COMPLAINT WILL BE USED FOR TRACKING AND TRENDING PURPOSES.