MalfunctionFOS
UMBILI-CATH
Received May 19, 2022 · Event occurred May 4, 2022
Report 14436097 · MDR key 14436097
Device
Generic name
Catheter, Umbilical Artery
Manufacturer
Utah Medical Products, Inc.Model number
DUAL-LUMEN SILICONECatalog number
4275005
Product problems
- Disconnection
- Fluid/Blood Leak
Patient
Unknown
- Insufficient Information
- Insufficient Information
Narrative
Description of Event or Problem
PLASTIC PIECE FROM DOUBLE LUMEN NOTED TO BE DISCONNECTED. TPN AND LIPIDS NOTED TO BE LEAKING ONTO WHITE PADDING UNDER LINE. LINE IMMEDIATELY CLAMPED WITH HEMOSTAT. LINE REMOVED AND PIV PLACED. VANCO DOSE GIVEN. WE DO HAVE DEVICE TO SEND BACK.