inforMED
MalfunctionOAJ

SKATER SINGLE STEP DRAINAGE SET-LOCKING 8F X 25CM

Received Feb 1, 2023 · Event occurred Sep 5, 2022

Report 0001625425-2023-00952 · MDR key 16277517

Device

Generic name

Skater

Model number

756508025E

Lot number

11421913

Product problems

  • No Flow
  • Adverse Event Without Identified Device or Use Problem
  • No Flow
  • Adverse Event Without Identified Device or Use Problem

Patient

Unknown

  • Pneumothorax
  • Pneumothorax

Narrative

Additional Manufacturer Narrative

THE SAMPLE IS INDICATED AS AVAILABLE FOR RETURN. AS OF THE DATE OF THIS REPORT, THE SAMPLE HAS NOT BEEN RETURNED. A FOLLOW-UP REPORT WILL BE PROVIDED ONCE THE DEVICE HAS BEEN RECEIVED AND REVIEWED.

Description of Event or Problem

PATIENT WHO UNDERGOES AN EVACUATING THORACENTESIS ACCORDING TO MEDICAL ORDER, WHEN INTRODUCING THE CATHETER INTO THE PLEURAL SPACE, NO FLUID IS OBTAINED WHEN ASPIRATING, THE DOCTOR VERIFIES THE LOCATION OF THE CATHETER AND IT IS IN THE CORRECT POSITION, REMOVES THE DEVICE AND REASSEMBLES IT , WHEN TRYING TO INTRODUCE IT, THE ULTRASOUND SHOWS ABUNDANT SUBCUTANEOUS EMPHYSEMA IN THE SOFT TISSUES OF THE THORAX, IT IS NOT POSSIBLE TO PASS THE CATHETER BACK TO THE PLEURAL CAVITY. PNEUMOTHORAX IS SUSPECTED.

Additional Manufacturer Narrative

A REVIEW OF THE MANUFACTURING AND INSPECTION RECORDS FOR THIS LOT WAS CONDUCTED, AND NO DEVIATIONS AND NON-CONFORMANCES WERE RECORDED. A REVIEW OF RETURNED PRODUCT FROM THE CUSTOMER WAS PERFORMED. VISUAL INSPECTION OF THE SAMPLE RETURNED FROM THE CUSTOMER FOUND NO DAMAGE TO THE PRODUCT. FUNCTIONAL TESTING OF THE DEVICE RETURNED FROM THE CUSTOMER CONFIRMED THAT GUIDEWIRE 0.035" PASSED THROUGH THE DRAINAGE SKATER TUBE WITHOUT ANY ISSUE. PRODUCT COMPLAINT MODE COULD NOT BE DUPLICATE DURING THE EVALUATION AND THE COMPLAINT WAS NOT CONFIRMED. THE COMPLAINT WAS NOT CONFIRMED, SO NO FURTHER EVALUATION NEEDED AT THIS TIME.

Description of Event or Problem

PATIENT WHO UNDERGOES AN EVACUATING THORACENTESIS ACCORDING TO MEDICAL ORDER, WHEN INTRODUCING THE CATHETER INTO THE PLEURAL SPACE, NO FLUID IS OBTAINED WHEN ASPIRATING, THE DOCTOR VERIFIES THE LOCATION OF THE CATHETER AND IT IS IN THE CORRECT POSITION, REMOVES THE DEVICE AND REASSEMBLES IT , WHEN TRYING TO INTRODUCE IT, THE ULTRASOUND SHOWS ABUNDANT SUBCUTANEOUS EMPHYSEMA IN THE SOFT TISSUES OF THE THORAX, IT IS NOT POSSIBLE TO PASS THE CATHETER BACK TO THE PLEURAL CAVITY. PNEUMOTHORAX IS SUSPECTED.