inforMED
MalfunctionFOS

UMBILICAL CATHETER

Received Aug 11, 2022 · Event occurred Aug 7, 2022

Report MW5111447 · MDR key 15216952

Device

Generic name

Catheter, Umbilical Artery

Lot number

1213268

Product problems

  • Fluid/Blood Leak

Patient

2 DA · Male

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

Narrative

Description of Event or Problem

DOUBLE LUMEN UVC CATHETER 3.5FR MADE BY UTAH MEDICAL PRODUCTS WITH A LEAK AT THE JUNCTURE OF THE DUAL LUMENS INTO THE MAIN CATHETER. FDA SAFETY REPORT ID# (B)(4).