inforMED
InjuryBSP

PORTEX NRFIT CONNECTOR EPIDURAL

Received Jul 18, 2024 · Event occurred May 27, 2024

Report 3011237704-2024-00148 · MDR key 19772253

Device

Generic name

Needle, Conduction, Anesthetic (w/wo Introducer)

Catalog number

24-1011-64CZ

Lot number

4465055

Product problems

  • Loose or Intermittent Connection
  • Loose or Intermittent Connection

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

B5 - DESCRIBE EVENT OR PROBLEM: ADDITIONAL INFORMATION. H6. HEALTH EFFECT - IMPACT CODE; CORRECTED. H6. EVALUATION CODES: UPDATED. NO PRODUCT OR PHOTOS WERE RETURNED THEREFORE NO DEVICE ANALYSIS COULD BE COMPLETED. THE REPORTED PRODUCT IS NOT A PART OF BILL OF MATERIALS (BOM) OF THE REPORTED LOT NUMBER, THEREFORE THE DEVICE HISTORY RECORD (DHR) REVIEW CANNOT BE PERFORMED. IF THE PRODUCT IS RETURNED THE MANUFACTURER WILL RE-OPEN THE COMPLAINT FOR FURTHER DEVICE ANALYSIS.

Description of Event or Problem

THE INNER CANNULA WAS REPLACED WITH ANOTHER WHICH RESOLVED THE ISSUE.

Additional Manufacturer Narrative

INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

IT WAS REPORTED THAT THE INNER CANNULA WAS LOOSE, AND THE STAFF WERE UNABLE TO "CLICK" IT BACK INTO PLACE SUCH THAT IT WAS SECURE. THERE WAS PATIENT INVOLVEMENT AND NO PATIENT HARM REPORTED.