inforMED
MalfunctionFOS

UMBILICAL CATHETER SINGLE LUMEN 5FR

Received Apr 23, 2024 · Event occurred Apr 12, 2024

Report 3009211636-2024-00809 · MDR key 19168357

Device

Generic name

Catheter, Umbilical Artery

Manufacturer

Cardinal Health

Model number

8888160341

Catalog number

8888160341

Lot number

2229200165

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THE LOT NUMBER WAS PROVIDED, AND THE DEVICE HISTORY RECORD (DHR) WAS REVIEWED INDICATING THAT THE PRODUCT WAS RELEASED ACCOMPLISHING ALL QUALITY STANDARDS. AS PART OF OUR MANUFACTURING PROCESS, ALL DEVICE HISTORY RECORDS ARE REVIEWED AND APPROVED BY QUALITY, PRIOR TO RELEASE OF PRODUCT. THERE WAS NO SAMPLE RECEIVED FOR EVALUATION. BASED ON THE INFORMATION AVAILABLE TO US, WE WERE UNABLE TO CONFIRM THE EVENT. IN THE MEANTIME, ALL INFORMATION RECEIVED WILL BE USED FOR FURTHER TRACKING AND TRENDING PURPOSES.

Additional Manufacturer Narrative

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

Description of Event or Problem

THE CUSTOMER REPORTED THAT THEY HAD NOTICED UVC LINE WAS LEAKING AT CLAVE SITE. PER CUSTOMER, THEY VERIFIED THE CONNECTIONS AND WERE TIGHT AT START OF THE SHIFT. THE CHARGE WAS NOTIFIED, AND TRANSPORT NURSE WAS CALLED. FELLOW WAS THEN NOTIFIED AND CAME TO ASSESS THE PATIENT. A DECISION WAS MADE TO INSERT A PICC LINE AND UVC WAS REMOVED. THE CUSTOMER FURTHER STATED THAT THE CONNECTOR BEING USED WAS MC100 ICU MEDICAL.